Individual
GODWIN ONWORDI ELUMELU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
721 W MULBERRY ST, ANGLETON, TX 77515-4239
(979) 848-0279
Mailing address
16155 MISSION GLEN DR, HOUSTON, TX 77083-5381
(832) 513-0951
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215450
TX
Other
Enumeration date
02/23/2019
Last updated
02/23/2019
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