Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUSTIN NOSAKHARE OMWANGHE, PT, DPT
ActiveAUSTIN NOSAKHARE OMWANGHE, PT, DPT is a Physical Therapy Assistant healthcare provider located in ETIWANDA, California. NPI 1063994655 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · ETIWANDA, CA
Registration Details
- NPI Number
- 1063994655
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 30, 2018 (7.7722452277517 yrs)
- Last Updated
- Feb 5, 2021
- Licenses
-
PT013536 (GA)PT297773 (CA)
Practice Information
- Address
-
6294 HIDDEN BROOK PLETIWANDA, CA, 917399427Browse CA providers · Browse ZIP 91739
- Phone
- 9092970840
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.