Organization
DR OMOLOLA OMISHORE PT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMOLOLA OMISHORE DPT (PHYSICAL THERAPIST)
(917) 319-2245
Entity
Organization
Contact information
Practice address
1138 OCEAN AVE APT 6I, BROOKLYN, NY 11230
(917) 319-2245
Mailing address
1138 OCEAN AVE APT 6I, BROOKLYN, NY 11230
(917) 319-2245
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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