Individual
KELECHI OGBONNAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2424 N JOHN B DENNIS HWY, KINGSPORT, TN 37660-5888
(423) 288-0313
(423) 288-0383
Mailing address
2424 N JOHN B DENNIS HWY, KINGSPORT, TN 37660-5888
(423) 288-0313
(423) 288-0383
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9555
TN
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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