Individual
TAIWO ANUOLUWAPO KOLA-KOROLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1814 ROSELAND BLVD, TYLER, TX 75701-4234
(903) 525-3300
Mailing address
1814 ROSELAND BLVD, TYLER, TX 75701-4234
(903) 525-3300
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1244220
TX
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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