Provider Demographics
NPI:1235853896
Name:HAMZA, MOUNKAILA GARBA (DPT)
Entity type:Individual
Prefix:
First Name:MOUNKAILA
Middle Name:GARBA
Last Name:HAMZA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2549 NICOLE DR
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-4624
Mailing Address - Country:US
Mailing Address - Phone:716-909-4846
Mailing Address - Fax:
Practice Address - Street 1:4500 E SAM HOUSTON PKWY S STE 215
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77505-3957
Practice Address - Country:US
Practice Address - Phone:281-487-2786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0399682251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty