Provider Demographics
NPI:1881918241
Name:CHIMENTI, OKWUCHI N (DPT, PT)
Entity type:Individual
Prefix:
First Name:OKWUCHI
Middle Name:N
Last Name:CHIMENTI
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:OKWUCHI
Other - Middle Name:N
Other - Last Name:KEKEH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1300 W SAM HOUSTON PKWY S STE 300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-2453
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1300 W SAM HOUSTON PKWY S STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-2453
Practice Address - Country:US
Practice Address - Phone:713-297-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-15
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1188457225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist