NPI 1003651282

Sidney Otiwu, PTDPT

Practitioner Physical Therapist Lawrenceville, GA

Practice location

Address: 575 Professional Dr STE 370, Lawrenceville, GA 30046-3334
Phone: (678) 205-5420
Fax: (678) 205-5462
Mailing address: 2400 Wisteria Dr STE a, Snellville, GA 30078-2689

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT017162 (GA)

Other Physical Therapist providers in Georgia →

Registry record

NPI: 1003651282
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Jun 2024
Record last updated: 28 Jun 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.