Chinonyerem Camille, PT, DPT

NPI #1922759802 in Southlake, Texas

Provider Information

NPI Number: 1922759802
Entity Type: Individual
Name: Chinonyerem Camille, PT, DPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Jan 12, 2022
Last Updated: Jan 12, 2022

Practice Location

Address: 180 STATE ST STE 225
City: Southlake
State: Texas
ZIP Code: 76092-7632
Phone: (866) 839-6979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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