Individual
MICHAEL AKINBOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0002821
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J1-0002821
DELAWARE DEPARTMENT OF STATE PT LICENSE
DE
Enumeration date
02/08/2012
Last updated
02/08/2012
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