Ibienebo Nelly Biyi, PT
Physical Therapist in Dallas, TX. Individual provider (NPI-1).
NPI number1285649848
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1285649848
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Ibienebo Nelly Biyi
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 5501006673 | MI | Yes |
Practice location
4500 S Lancaster RdDallas, TX 75216-7167
Phone 214-857-1289
Mailing address
4224 Adam DrGrand Prairie, TX 75052-2821
Phone 214-417-2664
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