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Individual

OLUWATOYIN JOHN FADUGBA

Active
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Individual

OLUWATOYIN JOHN FADUGBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17495
NY
251E00000X
Home Health Agency
17495
NY
261QP2000X
Physical Therapy Clinic/Center
17495
NY

Other

Enumeration date
07/22/2009
Last updated
04/04/2022
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