Etinosa Obadagbonyi
NPI #1699373092 in Fort Moore, Georgia
Provider Information
- NPI Number
- 1699373092
- Entity Type
- Individual
- Name
- Etinosa Obadagbonyi
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Oct 16, 2020
- Last Updated
- Nov 26, 2023
Practice Location
- Address
- 6600 VAN AALST BLVD
- City
- Fort Moore
- State
- Georgia
- ZIP Code
- 31905-2102
- Phone
- (832) 264-1759
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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