Individual
EKOUEGAN EKOUE-TOTOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
218 STONE ST, WATERTOWN, NY 13601-3211
(315) 782-7400
Mailing address
22 PERRIN ST, ROXBURY, MA 02119-2107
(617) 290-9627
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
005567-1
NY
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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