Individual
DORIS OGOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 CUMMING HWY STE 1360, CANTON, GA 30115-2306
(678) 885-9965
Mailing address
159 AVERY LANDING WAY, CANTON, GA 30115-1122
(678) 954-9010
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
10/09/2025
Last updated
10/09/2025
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