Individual
DR. CLEMENTINA NKECHI SOLOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-010257
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9437883
PRIVATE HEALTHCARE SYSTEM
IL
Enumeration date
05/17/2006
Last updated
01/04/2013
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