MODUPE OSITELU

WESTFIELD, IN
NPI1083824742
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05004134A)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
-- MODUPE OSITELU
109 E COLUMBINE LN
WESTFIELD, IN 46074-9741
Phone number: 317-201-4310
Mailing Address
-- MODUPE OSITELU
PO BOX 802
WESTFIELD, IN 46074-0802
Phone number: 317-201-4310