Individual
PETER ESOSA OGBEIFUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14655 PRESTON RD, DALLAS, TX 75254-7805
(972) 726-7575
Mailing address
5849 SHETLAND CIR, FRISCO, TX 75034-4053
(973) 650-8558
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
118768
TX
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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