Individual
MR. SAMUEL ADEYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1008 KILLIAN DR, MANSFIELD, TX 76063-6032
(682) 551-6497
Mailing address
1008 KILLIAN DR, MANSFIELD, TX 76063-6032
(682) 551-6497
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2055400
TX
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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