FATAI BOLAJI ADISA

MERRILLVILLE, IN
NPI1710930011
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: IN  05005905A)
Enumeration Date2006-05-18
Last Update Date2019-11-20
Business Address
FATAI BOLAJI ADISA PT
8691 CONNECTICUT ST STE C
MERRILLVILLE, IN 46410-5541
Phone number: 219-525-4176
Mailing Address
FATAI BOLAJI ADISA PT
PO BOX 10644
MERRILLVILLE, IN 46411-0644
Phone number: 219-525-4176