Individual
MRS. OYENIKE O. FASANYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2625 ANITA DRIVE, GARLAND, TX 75041
(972) 926-2671
(972) 926-2679
Mailing address
2625 ANITA DRIVE, GARLAND, TX 75041
(972) 926-2671
(972) 926-2679
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1191110
TX
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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