Provider Demographics
NPI:1689057192
Name:ONOWU, NNEKA
Entity Type:Individual
Prefix:
First Name:NNEKA
Middle Name:
Last Name:ONOWU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8902 LATITUDES DR APT 604
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237-8387
Mailing Address - Country:US
Mailing Address - Phone:810-210-2320
Mailing Address - Fax:
Practice Address - Street 1:8902 LATITUDES DR APT 604
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-8387
Practice Address - Country:US
Practice Address - Phone:810-210-2320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-01
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034400-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist