Provider Demographics
NPI:1063190494
Name:CHIMEKWENE, OLUWATOSIN KEHINDE (DPT)
Entity type:Individual
Prefix:
First Name:OLUWATOSIN
Middle Name:KEHINDE
Last Name:CHIMEKWENE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:840 KINWEST PKWY APT 244
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-7405
Mailing Address - Country:US
Mailing Address - Phone:469-203-5304
Mailing Address - Fax:
Practice Address - Street 1:2001 N MACARTHUR BLVD STE 550
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-2255
Practice Address - Country:US
Practice Address - Phone:469-203-5304
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist