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Individual

OKECHUKU CHUKWUDI EKWUABU JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
82 NEW PARK AVE, NORTH FRANKLIN, CT 06254-1807
(860) 889-7345
Mailing address
82 NEW PARK AVE, NORTH FRANKLIN, CT 06254-1807
(860) 889-7345

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12754
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004002358
CT
Enumeration date
09/01/2020
Last updated
09/01/2020
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