Individual
DR. ADEBUSOLA OYEFESO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
205 MAIN ST, MATAWAN, NJ 07747-3127
(732) 583-8630
Mailing address
205 MAIN STREET, MATAWAN, NJ 07747
(732) 583-8630
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
QA046620
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
QA046620
STATE OF NJ BOARD OF PHYSICAL THERAPY
NJ
Enumeration date
11/06/2014
Last updated
11/06/2014
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