Provider Demographics
NPI:1699854604
Name:ILOKA, NGOZI UDOKA (PTDPTMPH)
Entity Type:Individual
Prefix:DR
First Name:NGOZI
Middle Name:UDOKA
Last Name:ILOKA
Suffix:
Gender:F
Credentials:PTDPTMPH
Other - Prefix:
Other - First Name:NGOZI
Other - Middle Name:UDOKA
Other - Last Name:BLANKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTDPTMPH
Mailing Address - Street 1:100 ERRICKSON AVE
Mailing Address - Street 2:
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-1214
Mailing Address - Country:US
Mailing Address - Phone:609-598-1257
Mailing Address - Fax:
Practice Address - Street 1:100 ERRICKSON AVE
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-1214
Practice Address - Country:US
Practice Address - Phone:609-598-1257
Practice Address - Fax:856-475-6870
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01056800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist