Individual
OLUWAKEMI GBEMISOLA BOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 COLLEGE AVE, GOSHEN, IN 46528-5010
(574) 528-0406
Mailing address
5411 OTTAWA CT APT 1A, MISHAWAKA, IN 46545-8466
(574) 271-8786
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007893A
IN
225100000X
Physical Therapist
5501011671
MI
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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