Individual
COREY OLUWOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4254 NW 38TH DR, COCONUT CREEK, FL 33073-4473
(954) 257-0582
Mailing address
4254 NW 38TH DR, COCONUT CREEK, FL 33073-4473
(954) 257-0582
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24008
FL
Other
Enumeration date
01/15/2015
Last updated
01/15/2015
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