Most Relevant Information
Provider Data
| NPI Number: | 1003638107 |
| Provider Name: | DENIS OKOBA |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 5501303181 |
Most Important Dates
| Enumeration Date: | 10/29/2024 |
| Last Updated: | 10/29/2024 |
Provider Practice Location
545 S STATE ST STE H
SPARTA
MI
493451593
Practice Location Phone/Fax
| Phone: | 6162758014 |
| Fax: |
Provider Mailing Location
18297 24TH AVE
CONKLIN
MI
494039777
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |