Individual provider · NPI-1

Christianah Adeyemo, PTA

Physical Therapy Assistant · Houston, TX

NPI number1760117105
StatusActive
Last updated in NPPESAug 8, 2022

Details

NPI
1760117105
Entity type
Individual (NPI-1)
Name
Christianah Adeyemo
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 20, 2022
Certification date
Aug 8, 2022
Last updated
Aug 8, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant2170806TXYes

Practice location

5151 Buffalo Speedway
Houston, TX 77005-4271

Phone 713-432-7777

Mailing address

9200 Westheimer Rd Apt 1211
Houston, TX 77063-3544

Phone 915-549-9501

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