Ekouegan Ekoue-totou PTA

NPI 1245428150 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1245428150
Gender Male
Enumeration Date 10/05/2007
Last Updated 10/05/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
218 STONE ST
WATERTOWN NY, 13601-3211, US
Phone (315) 782-7400
Fax
Business Location
22 PERRIN ST
ROXBURY MA, 02119-2107, US
Phone (617) 290-9627
Fax
Toxanomy
Taxonomy Code 225200000X
License State New York
License Number 005567-1
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According to our database, Ekouegan Ekoue-totou PTA NPI is 1245428150, taxonomy code is 225200000X and license number is 005567-1, license state is located at New York. Ekouegan Ekoue-totou PTA physically located at 218 Stone St, Watertown NY, 13601-3211. NPI Number Ekouegan Ekoue-totou PTA has the Individual type.

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1245428150 NPI number is provided on an as is basis without warranty of any kind. 1245428150 is maintained by the National Plan & Provider Enumeration System. The contents of Ekouegan Ekoue-totou PTA are for informational purposes only.