Organization
GRACEFUL HANDS TELECARE LLC
Active
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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