| NPI | 1669969382 |
|---|---|
| Professional Name | BAMIDELE OLAWALE JOHNSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2022-06-22 |