Individual
EZRA DAVID NDOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
10780 N US HIGHWAY 301, OXFORD, FL 34484-3505
(352) 330-3900
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(800) 944-9782
(610) 438-2046
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT11661
FL
Other
Enumeration date
09/30/2010
Last updated
09/30/2010
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