Individual
OZENIM PAUL IGUMBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9635 SOUTHERN PINE BLVD STE 110, CHARLOTTE, NC 28273-5545
(980) 224-9000
(980) 224-7222
Mailing address
16139 STUARTS DRAFT CT, CHARLOTTE, NC 28278-7278
(770) 557-9921
Taxonomy
Speciality
Code
Description
License number
State
225CA2500X
Assistive Technology Supplier Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
11/10/2022
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