Individual
JUDE I ANWUKAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2521 OAKLAND BLVD, FORT WORTH, TX 76103-3292
(817) 534-6100
Mailing address
4710 SEACHEST LN, ARLINGTON, TX 76016-5377
(817) 903-8135
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
105601
TX
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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