EBENEZER OGUNTUASE

VINELAND, NJ
NPI1619942695
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NJ  40QA00598500)
Enumeration Date2006-02-22
Last Update Date2011-05-11
Business Address
Mr. EBENEZER OGUNTUASE RPT
611 E LANDIS AVE
VINELAND, NJ 08360-8004
Phone number: 856-794-2100
Mailing Address
Mr. EBENEZER OGUNTUASE RPT
611 E LANDIS AVE
VINELAND, NJ 08360-8004
Phone number: 856-794-2100