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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EZEOYIBO JUSTIN OTIWU, DPT

Active Sole Proprietor

EZEOYIBO JUSTIN OTIWU, DPT is a Physical Therapy Assistant healthcare provider located in AUGUSTA, Georgia. NPI 1063089092 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · AUGUSTA, GA

Registration Details

NPI Number
1063089092
Provider Type
Individual
Gender
Male
NPI Issued
Jun 8, 2021 (5.1867395476726 yrs)
Last Updated
Jun 8, 2021
License
PT015301 (GA)
Sole Proprietor
Yes

Practice Information

Address
3205 DEANS BRIDGE RD
AUGUSTA, GA, 309064208
Browse GA providers · Browse ZIP 30906
Phone
7622221123
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in AUGUSTA, GA

Name Credential NPI
ROBYN S BUDENSTEIN PT 1740282912
CHERIES L BRULE P.T. 1467420661
MR. DANIEL PAUL FISHER PT, OCS, MHA, FACHE 1124088281
MRS. JUDITH C. BIERMAN PT 1558325472
MRS. VALERIE B. BUONO PT 1639133481
MS. WHITNEY DAWN JOHNSON PT 1619927357
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.