Doctor Name: | KWAKU B OPOKU-NSIAH |
NPI Number: | 1053741348 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, DPT |
License Number: | 40QA01526500 |
Business Practice Address: | 11 Eagle Rock Ave East Hanover, NJ - 079363167 |
Business Phone Number: | 9738879000 |
Business Fax Number: | |
Mailing Address: | 530 Kingsland St, NUTLEY |
State: | NJ |
Postal Code: | 071101048 |
Phone Number: | 7185103365 |
Fax Number: | |
NPI Enumeration Date: | 11/22/2013 |
NPI Last Update Date: | 11/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01526500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |