Most Relevant Information
Provider Data
| NPI Number: | 1003282526 |
| Provider Name: | MORONKE OGUNDELE DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT012084 |
Most Important Dates
| Enumeration Date: | 08/19/2015 |
| Last Updated: | 08/06/2020 |
Provider Practice Location
335 UPPER RIVERDALE RD STE B10
JONESBORO
GA
302361071
Practice Location Phone/Fax
| Phone: | 7709075743 |
| Fax: |
Provider Mailing Location
335 UPPER RIVERDALE RD STE B10
JONESBORO
GA
302361071
Provider Mailing Phone/Fax
| Phone: | 7709075743 |
| Fax: |