Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETINOSA OBADAGBONYI
Active Sole ProprietorETINOSA OBADAGBONYI is a Occupational Therapist healthcare provider located in FORT MOORE, Georgia. NPI 1699373092 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FORT MOORE, GA
Registration Details
- NPI Number
- 1699373092
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 16, 2020 (5.8094189548921 yrs)
- Last Updated
- Nov 26, 2023
- License
-
120260 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6600 VAN AALST BLVDFORT MOORE, GA, 319052102Browse GA providers · Browse ZIP 31905
- Phone
- 8322641759
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in FORT MOORE, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. JENNIFER SUZANNE NEAL | OTR/L | 1477576262 |
| SUSAN B WILLIAMSON | OTRL | 1760544902 |
| CHRISTIN NOEL BOYD | OT | 1295074300 |
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.