Individual
OLALEKAN LUKMAN GANIYU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, MHSC, MTC
Contact information
Practice address
2500 W SILVER SPRING DR, STE A, GLENDALE, WI 53209-4218
(608) 368-9783
(608) 368-9784
Mailing address
2500 W SILVER SPRING DR, STE A, GLENDALE, WI 53209-4218
(608) 368-9783
(608) 368-9784
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
024- 5648
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40403900
—
WI
Enumeration date
09/14/2006
Last updated
08/22/2019
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