Individual
MR. AKINBOYENLE SAMSON AKINOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
193 MAIN ST, APT 2, WEST HAVEN, CT 06516-4534
(475) 441-0360
Mailing address
193 MAIN ST, WEST HAVEN, CT 06516-4534
(475) 441-0360
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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