Doctor Name: | ABIODUN OLUSINA ADEYEMI |
NPI Number: | 1992948400 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 014645-1 |
Business Practice Address: | 3424 Stoney St Mohegan Lake, NY - 105471420 |
Business Phone Number: | 9174058340 |
Business Fax Number: | |
Mailing Address: | P.o. Box 41, SHRUB OAK |
State: | NY |
Postal Code: | 10588 |
Phone Number: | 9174058340 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2009 |
NPI Last Update Date: | 04/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 014645-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |