Individual
MR. ISAAC OBUKADATA ODIBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TEACHER
Contact information
Practice address
2708 NE 14TH ST, SUITE 5, POMPANO BEACH, FL 33062-3565
(888) 880-9270
Mailing address
6359 EDWARD ST, NORFOLK, VA 23513-1520
(757) 857-3043
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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