| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ENOBONG TARELA ARCHIBONG | 1487485595 | 2024-08-10 |
Enobong Tarela Archibong is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1487485595. Registration indicates Enobong Tarela Archibong is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Enobong Tarela Archibong DPT |
| Practice Office Address | 6200 N DURANGO DR STE 120 LAS VEGAS, NV US |
| Practice Office Telephone | 7024629331 |
| Mailing Address | 3948 BUTTON CREEK CT LAS VEGAS, NV 891223654 US |
| Business Telephone | 5035604069 |
| Code | Practice | License No State |
|---|---|---|
| 225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers |