Provider Demographics
NPI:1821322967
Name:ENELICHI, STELLA CHINYE (1189230, LPT)
Entity Type:Individual
Prefix:
First Name:STELLA
Middle Name:CHINYE
Last Name:ENELICHI
Suffix:
Gender:F
Credentials:1189230, LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8100 W AIRPORT BLVD
Mailing Address - Street 2:507
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071-2929
Mailing Address - Country:US
Mailing Address - Phone:713-344-1339
Mailing Address - Fax:
Practice Address - Street 1:8100 W AIRPORT BLVD
Practice Address - Street 2:507
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-2929
Practice Address - Country:US
Practice Address - Phone:713-344-1339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1189230225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist