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Organization

GRACEFUL HANDS TELECARE LLC

Active
Other names
Graceful Hands Rehabilitation
Organization subpart
No

Provider details

NPI number
Authorized official
OLUKAYODE OLUFAYO PT (OWNER)
(202) 390-9084
Entity
Organization

Contact information

Practice address
5193 MUDVILLE LN, WALDORF, MD 20602-4217
(202) 390-9084
Mailing address
5193 MUDVILLE LN, WALDORF, MD 20602-4217
(202) 390-9084

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1821633504
NPI
MD
01
24459
MD LICENSE
MD
Enumeration date
11/17/2019
Last updated
08/14/2020
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