Individual
HARRISON OGBEWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
362 W BURR BLVD STE 5-6, KEARNEYSVILLE, WV 25430-4787
(304) 900-0866
Mailing address
151 DAVID CT, KEARNEYSVILLE, WV 25430-2730
(508) 718-7701
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004810
WV
2255A2300X
Athletic Trainer
001933
WV
Other
Enumeration date
09/19/2024
Last updated
09/21/2024
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