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Individual

AUGUSTINA OGUNTOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
14055 TOWN LOOP BLVD STE 300, ORLANDO, FL 32837-6106
(407) 857-6285
Mailing address
1351 DORADO DR APT B, KISSIMMEE, FL 34741-7901
(407) 791-4009

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305208518
VA
225100000X
Physical Therapist
Primary
29082
FL

Other

Enumeration date
05/20/2014
Last updated
05/21/2014
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