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: |