Individual
MRS. OWOTUTU YEWANDE OLUWASUJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3367 STAGS LEAP DR, FINKSBURG, MD 21048-2177
(240) 441-9076
Mailing address
3367 STAGS LEAP DR, FINKSBURG, MD 21048-2177
(240) 441-9076
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4154
MD
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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