Individual
DR. DAMILOLA SOETAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, AIB-PCON
Contact information
Practice address
3777 N FRONTAGE RD STE 100, MICHIGAN CITY, IN 46360-7696
(219) 872-2933
Mailing address
1904 CHICKADEE DR, MICHIGAN CITY, IN 46360-7792
(346) 270-0950
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
06/11/2019
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