Organization
FAVOUS THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUMIDE OLAYODE OGUNJUYIGBE PT (PRESIDENT)
(202) 498-0484
Entity
Organization
Contact information
Practice address
2909 EAGLES NEST DR, BOWIE, MD 20716-3905
(202) 498-0484
(301) 805-0634
Mailing address
2909 EAGLES NEST DR, BOWIE, MD 20716-3905
(202) 498-0484
(301) 805-0634
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18415
MD
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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