Obadagbonyi, Etinosa

Obadagbonyi, Etinosa is an sole proprietor health care provider with primary practice located at 6600 Van Aalst Blvd , Fort Moore GA 31905-2102. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Obadagbonyi, Etinosa can be contacted via phone (832) 264-1759.

Contact Information

Primary practice address
6600 Van Aalst Blvd Fort Moore GA 31905-2102
Phone: (832) 264-1759
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 120260 Texas

Profile Details

NPI number 1699373092
LBN Legal business name Obadagbonyi, Etinosa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2020
Last updated Nov 26th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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