EZEOYIBO JUSTIN OTIWU

AUGUSTA, GA
NPI1063089092
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT015301)
Enumeration Date2021-06-08
Last Update Date2021-06-08
Business Address
EZEOYIBO JUSTIN OTIWU DPT
3205 DEANS BRIDGE RD
AUGUSTA, GA 30906-4208
Phone number: 762-222-1123
Mailing Address
EZEOYIBO JUSTIN OTIWU DPT
3965 BRADFORD WALK TRL
BUFORD, GA 30519-7840
Phone number: 678-654-4622
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