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1003651282
SIDNEY OTIWU
LAWRENCEVILLE, GA
NPI
1003651282
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: GA PT017162)
Enumeration Date
2024-06-28
Last Update Date
2024-06-28
Business Address
SIDNEY OTIWU PT, DPT
575 PROFESSIONAL DR STE 370
LAWRENCEVILLE, GA 30046-3334
Phone number: 678-205-5420
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Mailing Address
SIDNEY OTIWU PT, DPT
2400 WISTERIA DR STE A
SNELLVILLE, GA 30078-2689
Phone number: 770-982-0102
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