Individual
AKEEM ADENIYI BAKARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1600 CRAIN HWY S STE 402, GLEN BURNIE, MD 21061-6437
(410) 590-0700
Mailing address
1600 CRAIN HWY S STE 401, GLEN BURNIE, MD 21061-6413
(410) 768-5050
(410) 768-7830
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27632
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B260038031660
NONE
MD
Enumeration date
10/10/2019
Last updated
12/17/2019
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