Provider Demographics
NPI:1780336792
Name:DOSU, LIVINA
Entity type:Individual
Prefix:
First Name:LIVINA
Middle Name:
Last Name:DOSU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 TALL OAKS DR APT UNIT2G
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-3042
Mailing Address - Country:US
Mailing Address - Phone:336-210-4843
Mailing Address - Fax:
Practice Address - Street 1:109 TALL OAKS DR APT UNIT2G
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-3042
Practice Address - Country:US
Practice Address - Phone:336-210-4843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-20
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant