Individual
KEHINDE TIJANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12020 REISTERSTOWN RD, REISTERSTOWN, MD 21136-3041
(410) 833-3801
Mailing address
152 SPECTATOR LN, OWINGS MILLS, MD 21117-4444
(410) 940-1983
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
07779
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
08/27/2018
Last updated
02/26/2020
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