MEDICARE: ONYEOMACHI OKORO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician
2	225X00000X	Occupational Therapist	124550	TX
3	225X00000X	Occupational Therapist	27600	CA

General Provider Information

NPI Number	:	1235765942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ONYEOMACHI OKORO

Provider Business Mailing Address
First Line	:	16782 VON KARMAN AVE STE 11
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92606-2417
Country	:	US
Telephone Number	:	949-833-2237
Fax Number	:

Provider Business Practice Location Address
First Line	:	810 S MASON RD
Second Line	:
City	:	KATY
State	:	TX
Zip	:	77450-3895
Country	:	US
Telephone Number	:	281-652-5200
Fax Number	:	818-357-2505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2020
Last Update Date	:	05/07/2026

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Directions to “ ONYEOMACHI OKORO ” Practice Location

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