Individual
MR. AYODEJI O FAMUYIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED, PT, FAAOMPT
Contact information
Practice address
3676 HARDING BLVD STE B, BATON ROUGE, LA 70807-5259
(225) 454-6005
(225) 454-6018
Mailing address
PO BOX 45985, BATON ROUGE, LA 70895-4985
(225) 248-0085
(225) 248-0086
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03314F
LA
Other
Enumeration date
01/16/2007
Last updated
09/11/2024
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