Individual
EMMANUEL IKENNA OBINERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1185 ROMA DRIVE, FRISCO, TX 75034-7503
(631) 987-4936
Mailing address
1185 ROMA DRIVE, FRISCO, TX 75034
(631) 987-4936
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2108530
TX
Other
Enumeration date
08/28/2018
Last updated
08/28/2018
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