Busola O Odubayo, DPT
Physical Therapist in Silver Spring, MD. Individual provider (NPI-1).
NPI number1164063939
StatusActive
Last updated in NPPESAug 21, 2020
Details
- NPI
- 1164063939
- Entity type
- Individual (NPI-1)
- Name
- Busola O Odubayo
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2019
- Certification date
- Aug 21, 2020
- Last updated
- Aug 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 27348 | MD | Yes |
Practice location
13210 Redspire DrSilver Spring, MD 20906-6739
Phone 123-123-1234
Mailing address
13210 Redspire DrSilver Spring, MD 20906-6739
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