Provider Demographics
NPI:1134782667
Name:ONWOCHEI, CHIEDU NKEMDILIM (OTR/L)
Entity type:Individual
Prefix:
First Name:CHIEDU
Middle Name:NKEMDILIM
Last Name:ONWOCHEI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15928 VENTURA BLVD STE 218
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436
Mailing Address - Country:US
Mailing Address - Phone:818-518-9709
Mailing Address - Fax:
Practice Address - Street 1:15928 VENTURA BLVD STE 218
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436
Practice Address - Country:US
Practice Address - Phone:818-518-9709
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-19
Last Update Date:2024-08-15
Deactivation Date:2024-07-30
Deactivation Code:
Reactivation Date:2024-08-15
Provider Licenses
StateLicense IDTaxonomies
CA26639225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist