| NPI | 1316517709 |
|---|---|
| Former Name | OGENNA AGATHA OFFODILE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05014167A) |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2024-08-02 |