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Organization
DR OMOLOLA OMISHORE PT, P.C.
Active
Organization
DR OMOLOLA OMISHORE PT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMOLOLA OMISHORE DPT (PHYSICAL THERAPIST)
(917) 319-2245
Entity
Organization
Contact information
Practice address
1138 OCEAN AVE APT 6I, BROOKLYN, NY 11230
(917) 319-2245
Mailing address
1138 OCEAN AVE APT 6I, BROOKLYN, NY 11230
(917) 319-2245
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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