Individual
BETHEL C EMENIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
182 SHILOH DR, RICHMOND, TX 77469-5955
(346) 400-7362
Mailing address
182 SHILOH DR, RICHMOND, TX 77469-5955
(346) 400-7362
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215203
TX
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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