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NPI Code Detail

MEDICARE: CHEPHIRAH NWANSI DPT

MEDICARE: CHEPHIRAH NWANSI DPT
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
1225100000XPhysical Therapist1337299TX

General Provider Information

NPI Number : 1467113498
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHEPHIRAH NWANSI DPT
Provider Business Mailing Address
First Line : 1126 GREENBRIAR LN
Second Line :
City : LANCASTER
State : TX
Zip : 75146-1360
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12271 COIT RD
Second Line :
City : DALLAS
State : TX
Zip : 75251-2300
Country : US
Telephone Number : 469-730-4482
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2022
Last Update Date : 01/03/2022

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Directions to “ CHEPHIRAH NWANSI DPT” Practice Location

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