OLU P EZEANI

ERGO OCCMED, LLC

Dr OLU P EZEANI is a male medical professional, specializing in Physical Therapy. He graduated in 1997.

Contact

ERGO OCCMED, LLC

6196 OXON HILL RD
SUITE 120
OXON HILL
MD
207453138

Tel: 3015676400

OLU P EZEANI Information

Npi 1699711598
Pac Id 0446151211
Professional Enrollment Id I20070228000527
Last Name EZEANI
First Name OLU
Middle Name P
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 1997
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name ERGO OCCMED, LLC
Group Practice Pac Id 1759564115
Number Of Group Practice Members 4
Line 1 Street Address 6196 OXON HILL RD
Line 2 Street Address SUITE 120
Marker Of Address Line 2 Suppression
City OXON HILL
State MD
Zip Code 207453138
Phone Number 3015676400
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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