| Nnenna Renee Agomuo, MOT, OTR | |
|
4625 North Fwy, Suite 203, Houston, TX 77022-2914 | |
| (713) 695-7455 | |
| (713) 695-7456 |
| Full Name | Nnenna Renee Agomuo |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 4625 North Fwy, Houston, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588833255 | NPI | - | NPPES |
| 8658OT | Other | TX | BCBS |
| 1852985 | Other | TX | FIRST HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 108225 (Texas) | Primary |
| Provider Name | Terena Health And Rehabilitation Services |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1073807079 PECOS PAC ID: 3173798840 Enrollment ID: O20111207000524 |
| Mailing Address | Practice Location Address |
|---|---|
| Nnenna Renee Agomuo, MOT, OTR 4625 North Fwy, Suite 203, Houston, TX 77022-2914 Ph: (713) 695-7455 | Nnenna Renee Agomuo, MOT, OTR 4625 North Fwy, Suite 203, Houston, TX 77022-2914 Ph: (713) 695-7455 |
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