Doctor Name: | MR. OLUGESIN AKANDE |
NPI Number: | 1003895517 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHYSICAL THERAPIST |
License Number: | 5501006358 |
Business Practice Address: | 18663 Livernois Avenue Detroit, MI - 48221 |
Business Phone Number: | 3133414910 |
Business Fax Number: | 3133414916 |
Mailing Address: | 18663 Livernois Avenue, Ultimate Rehabilitation Services Inc DETROIT |
State: | MI |
Postal Code: | 48221 |
Phone Number: | 3133414910 |
Fax Number: | 3133414916 |
NPI Enumeration Date: | 01/12/2006 |
NPI Last Update Date: | 04/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 07/27/2007 |
NPI Reactivation Date: | 04/14/2008 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5501006358 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |