Organization
FAST REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AKINBOYENLE SAMSON AKINOLA PT (PHYSICAL THERAPIST)
(475) 441-0360
Entity
Organization
Contact information
Practice address
193 MAIN ST APT 2, WEST HAVEN, CT 06516-4534
(475) 441-0360
Mailing address
193 MAIN ST APT 2, WEST HAVEN, CT 06516-4534
(475) 441-0360
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/12/2022
Last updated
02/12/2022
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