Individual
DR. OLUKAYODE BAMIDELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3601 W. MOORE ROAD, MUNCIE, IN 47304
(765) 289-9542
Mailing address
3601 W. MOORE ROAD, MUNCIE, IN 47304
(765) 289-9542
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005616A
IN
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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