Individual
BOLALE TAIRU-CASWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
104 IBISCA TER, ROYAL PALM BEACH, FL 33411-4321
(561) 718-7641
Mailing address
104 IBISCA TER, ROYAL PALM BEACH, FL 33411-4321
(561) 718-7641
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22907
FL
Other
Enumeration date
01/08/2007
Last updated
07/06/2010
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