Individual
MISS KAFAYAT FOLAKE IYANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6009 OXON HILL RD # C, OXON HILL, MD 20745-3129
(301) 965-9260
(240) 557-1405
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
(517) 435-3670
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
29412
MD
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
07/14/2020
Last updated
06/05/2023
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