Individual
DR. AUSTINE OMEBEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5800 GRANITE PKWY STE 1000, PLANO, TX 75024-6619
(561) 316-7405
Mailing address
PO BOX 487, HIGH SPRINGS, FL 32655-0487
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02206200
NJ
225100000X
Physical Therapist
—
—
Other
Enumeration date
03/25/2024
Last updated
09/06/2024
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