NPI 1134554603

Taiwo Olusegun Fowowe

Practitioner Developmental Therapist Villa Rica, GA

Practice location

Address: 2005 Club Bay Dr, Villa Rica, GA 30180-5136
Phone: (267) 575-5092

Registered specialties

Developmental Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Q00000X

Other Developmental Therapist providers in Georgia →

Registry record

NPI: 1134554603
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Sep 2013
Record last updated: 3 Sep 2013

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.