Individual
DR. SHANTELLE ANOSIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3645 N BEACH ST, FORT WORTH, TX 76137-3242
(803) 409-9006
Mailing address
11325 PARK VISTA BLVD APT 2204, FORT WORTH, TX 76244-7160
(803) 409-9006
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1344345
TX
2251X0800X
Orthopedic Physical Therapist
294861
CA
Other
Enumeration date
12/15/2019
Last updated
08/24/2021
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