OLUDARE EWETUSA

FAIRFAX, VA
NPI1487165973
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: VA  2306604918)
Enumeration Date2017-10-24
Last Update Date2025-11-05
Business Address
OLUDARE EWETUSA PTA
11166 FAIRFAX BLVD STE 500
FAIRFAX, VA 22030-5017
Phone number: 571-464-0961
Mailing Address
OLUDARE EWETUSA PTA
11166 FAIRFAX BLVD STE 500
FAIRFAX, VA 22030-5017
Phone number: 571-464-0961
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