Boaz Nyongesa Barasa

NPI #1427698307 in South Bend, Indiana

Provider Information

NPI Number: 1427698307
Entity Type: Individual
Name: Boaz Nyongesa Barasa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 8, 2020
Last Updated: Jan 8, 2020

Practice Location

Address: 17475 DUGDALE DR
City: South Bend
State: Indiana
ZIP Code: 46635-1545
Phone: (574) 247-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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