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Organization
TRIDENT LAKE HEALTH INC
Active
Organization
TRIDENT LAKE HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLAYINKA ADEOYA PT (CEO)
(562) 221-3960
Entity
Organization
Contact information
Practice address
4140 E BETHENA ST, GILBERT, AZ 85295-0321
(562) 221-3960
Mailing address
4140 E BETHENA ST, GILBERT, AZ 85295-0321
(562) 221-3960
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/24/2025
Last updated
06/25/2026
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