Individual
OLADIMEJI A OMITOOGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3200 NORTHLINE AVE STE 160, GREENSBORO, NC 27408-7613
(336) 545-5000
(336) 544-1216
Mailing address
3200 NORTHLINE AVE STE 160, GREENSBORO, NC 27408-7613
(336) 545-5000
(336) 544-1216
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
P19330
NC
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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