Organization
TRIUMPH PEDIATRIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMOLOLU OLUWATOSIN MAJEKODUNMI OTR/L (CEO)
(240) 336-4976
Entity
Organization
Contact information
Practice address
4900 MASSACHUSETTS AVE NW # 340, WASHINGTON, DC 20016-4358
(240) 336-4976
Mailing address
1710 W VIRGINIA AVE NE UNIT 101, WASHINGTON, DC 20002-2338
(202) 739-1861
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/25/2020
Last updated
06/25/2020
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