NPI | 1508006255 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMSON OLATUNJI ISOLA President 9189-392-7007 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: OK 4189) |
Enumeration Date | 2009-02-20 |
Last Update Date | 2010-09-10 |