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Individual

DR. ABIOLA OLAWANDE ADENIJI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
808 PENNSYLVANIA AVE, KENNEDALE, TX 76060-5604
(267) 496-7242
Mailing address
114 NEWTON DR, BEAR, DE 19701-3022
(267) 496-7242

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1288631
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G00716
PHYSIOTHERAPY MEDICARE PIN
Enumeration date
07/25/2008
Last updated
04/12/2024
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