Organization
FEDINJRY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL ODUKOYA (MANAGING DIRECTOR)
(301) 841-5077
Entity
Organization
Contact information
Practice address
8003 FRANKLIN FARMS DR RM 102, RICHMOND, VA 23229-5107
(301) 841-5077
Mailing address
8003 FRANKLIN FARMS DR RM 102, RICHMOND, VA 23229-5107
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770176059
NPPES
—
Enumeration date
01/23/2023
Last updated
09/30/2024
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