Provider Demographics
NPI:1396382099
Name:OWUSU, DORCAS
Entity Type:Individual
Prefix:
First Name:DORCAS
Middle Name:
Last Name:OWUSU
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 1:8816 BRENNAN CIR APT 207
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-6180
Mailing Address - Country:US
Mailing Address - Phone:813-474-8890
Mailing Address - Fax:
Practice Address - Street 1:8816 BRENNAN CIR APT 207
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-6180
Practice Address - Country:US
Practice Address - Phone:813-474-8890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-02
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health