Provider Demographics
NPI:1659908499
Name:EKPEMU, UZOAMAKA CHIKA (PT, MPT)
Entity Type:Individual
Prefix:
First Name:UZOAMAKA
Middle Name:CHIKA
Last Name:EKPEMU
Suffix:
Gender:F
Credentials:PT, MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14823 GRAND CORRAL LN
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-2698
Mailing Address - Country:US
Mailing Address - Phone:682-208-9856
Mailing Address - Fax:
Practice Address - Street 1:14823 GRAND CORRAL LN
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-2698
Practice Address - Country:US
Practice Address - Phone:832-280-9877
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-23
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1214785225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty