Most Relevant Information
Provider Data
| NPI Number: | 1003484684 |
| Provider Name: | OGOLUWAKITAN CAL LAWANSON DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 2251X0800X |
| Specialty: | Physical Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/11/2021 |
| Last Updated: | 06/11/2021 |
Provider Practice Location
3200 DOWNWOOD CIR NW STE 700
ATLANTA
GA
303275308
Practice Location Phone/Fax
| Phone: | 4043550743 |
| Fax: |
Provider Mailing Location
2313 GRINDSTONE PKWY
COLUMBIA
MO
652018286
Provider Mailing Phone/Fax
| Phone: | 8166685071 |
| Fax: |