Osemwegie Eghidemwivbie, LMBT, AAS, PT
NPI #1730750746 in Southern Pines, North Carolina
Provider Information
- NPI Number
- 1730750746
- Entity Type
- Individual
- Name
- Osemwegie Eghidemwivbie, LMBT, AAS, PT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMBT, AAS, PT
- Enumeration Date
- Jul 9, 2021
- Last Updated
- Jan 28, 2022
Practice Location
- Address
- 100 PAVILION WAY
- City
- Southern Pines
- State
- North Carolina
- ZIP Code
- 28387-4559
- Phone
- (910) 315-0402
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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