Individual
EJIKEME IGWILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3006 MCNIEL AVE, WICHITA FALLS, TX 76309-4921
(940) 691-7511
Mailing address
4516 BARNETT RD APT 2042, WICHITA FALLS, TX 76310-3933
(210) 803-1395
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2141501
TX
Other
Enumeration date
01/04/2025
Last updated
01/04/2025
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