Healthcare Provider Details

I. General information

NPI: 1265217012
Provider Name (Legal Business Name): PRECIOUS ONYEKA ACHIGBUE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2023
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6099 RIVERSIDE DR STE 207
DUBLIN OH
43017-2004
US

IV. Provider business mailing address

1356 BOSWORTH PL
COLUMBUS OH
43229-1326
US

V. Phone/Fax

Practice location:
  • Phone: 614-271-2625
  • Fax: 614-702-7243
Mailing address:
  • Phone: 614-772-2317
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT019822
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: