Provider Demographics
NPI:1922467463
Name:AMAGOH, ESTHER (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:
Last Name:AMAGOH
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 BINZ ST STE 1025
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-6961
Mailing Address - Country:US
Mailing Address - Phone:713-344-0838
Mailing Address - Fax:281-605-6784
Practice Address - Street 1:1200 BINZ ST STE 1025
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6961
Practice Address - Country:US
Practice Address - Phone:713-344-0838
Practice Address - Fax:281-605-6784
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-11
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2305208527225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty