Individual
MRS. OGENNA AGATHA UMEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3510 PORTAGE RD STE A, SOUTH BEND, IN 46628-6091
(574) 252-7225
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05014167A
IN
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/28/2021
Last updated
08/02/2024
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