Individual
ADESOLA ABIGAIL TELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4319 CHURCH AVE, BROOKLYN, NY 11203-3101
(347) 351-5869
Mailing address
353A MONROE ST, BROOKLYN, NY 11221-1104
(347) 351-5869
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028818
NY
Other
Enumeration date
05/16/2007
Last updated
03/21/2017
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