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Individual

MR. AKINBOYENLE SAMSON AKINOLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
012572
CT
2251G0304X
Geriatric Physical Therapist
012572
CT

Other

Enumeration date
01/20/2021
Last updated
02/13/2022
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