Individual
MRS. OLAJUNMOKE JOYCE ILEDARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1121 N LOBDELL AVE, BATON ROUGE, LA 70806-2235
(225) 926-2645
Mailing address
1121 N LOBDELL AVE, BATON ROUGE, LA 70806-2235
(225) 926-2645
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01557F
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1551970
—
LA
Enumeration date
10/19/2006
Last updated
09/27/2011
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