EGHOSA AGBONGHAE

WARNER ROBINS, GA
NPI1790353837
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: AL  5439)
Enumeration Date2021-06-15
Last Update Date2021-06-15
Business Address
Mr. EGHOSA AGBONGHAE OTR/L
905 ARROWHEAD TRL
WARNER ROBINS, GA 31088-5390
Phone number: 478-333-6363
Mailing Address
Mr. EGHOSA AGBONGHAE OTR/L
3625 REGENT DR NW
KENNESAW, GA 30144-1175
Phone number: 404-492-2192