Individual
MISS OMOTAYO ABIODUN OMOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2575 W 24TH ST APT 254, YUMA, AZ 85364-6069
(928) 723-6744
Mailing address
2575 W 24TH ST APT 254, YUMA, AZ 85364-6069
(928) 723-6744
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1274336
TX
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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