Individual
ADAEZE OKORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4100 JACKSON AVE, AUSTIN, TX 78731-6056
(512) 797-2336
Mailing address
701 PARKVIEW DR, ROUND ROCK, TX 78681-5744
(512) 797-2336
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1317492
TX
Other
Enumeration date
08/02/2019
Last updated
09/06/2019
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