Individual
MR. ADEBOLA ADEKANMBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
8433 N BLACK CANYON HWY, PHOENIX, AZ 85021-4873
(623) 939-3112
(623) 939-3106
Mailing address
PO BOX 39717, PHOENIX, AZ 85069-9717
(623) 939-3112
(623) 939-3106
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3951
AZ
2251G0304X
Geriatric Physical Therapist
3951
AZ
2251N0400X
Neurology Physical Therapist
3951
AZ
2251P0200X
Pediatric Physical Therapist
3951
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495160
—
AZ
Enumeration date
10/12/2006
Last updated
06/04/2025
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