Provider Demographics
NPI:1003646100
Name:NDUKA, EBELECHUKWU CHIKODILI (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:EBELECHUKWU
Middle Name:CHIKODILI
Last Name:NDUKA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:EBELE
Other - Middle Name:CHIKODILI
Other - Last Name:NDUKA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:7701 LAS COLINAS RDG STE 110
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-7552
Mailing Address - Country:US
Mailing Address - Phone:214-574-7848
Mailing Address - Fax:
Practice Address - Street 1:7701 LAS COLINAS RDG STE 110
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-7552
Practice Address - Country:US
Practice Address - Phone:214-574-7848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-03
Last Update Date:2024-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13892182251N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology