Individual
AYODEJI OWOYOMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1850 GRAVES RD APT 10210, NORCROSS, GA 30093-5945
(404) 992-8437
Mailing address
1850 GRAVES RD APT 10210, NORCROSS, GA 30093-5945
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT009242
GA
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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