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Individual

DR. ANIEKAN NWABUEBO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
301 INDUSTRIAL RD, SAN CARLOS, CA 94070-2603
(650) 632-0816
Mailing address
18292 ST GEORGES CT, LEESBURG, VA 20176-7421
(703) 209-3359

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT296532
CA
225100000X
Physical Therapist
028228-1
NY
225100000X
Physical Therapist
21470
MD
225100000X
Physical Therapist
2305204026
VA
225100000X
Physical Therapist
40QA01220100
NJ
2251X0800X
Orthopedic Physical Therapist
2305204026
VA

Other

Enumeration date
05/14/2007
Last updated
12/20/2023
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