Individual
SHAKIRAH BOLANLE APENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
15423 HOPE SHADOW CT, CYPRESS, TX 77429-6237
(757) 777-1861
Mailing address
15423 HOPE SHADOW CT, CYPRESS, TX 77429-6237
(757) 777-1861
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2129516
TX
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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