Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Etinosa Obadagbonyi

Individual provider Occupational Therapist · NPI 1699373092

Etinosa Obadagbonyi is an Occupational Therapist in Fort Moore, Georgia. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2020

Practice location Address checks out

6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
Phone: (832) 264-1759
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 120260 (TX)

Record details

NPI number1699373092
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 16, 2020
Last updated in NPPESNovember 26, 2023
Certification dateNovember 26, 2023

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