Individual provider · NPI-1

Taiwo Adeshigbin, PT, DPT

Physical Therapist, Orthopedic · Lawrenceville, GA

NPI number1396226452
StatusActive
Last updated in NPPESMar 20, 2025

Details

NPI
1396226452
Entity type
Individual (NPI-1)
Name
Taiwo Adeshigbin
Credential
PT, DPT
Sex
Female
Sole proprietor
No
Enumeration date
Aug 27, 2018
Certification date
Mar 20, 2025
Last updated
Mar 20, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251X0800X Physical Therapist, OrthopedicPT015184GAYes
2251S0007X Physical Therapist, SportsPT015184GA

Practice location

601a Professional Dr
Lawrenceville, GA 30046-3325

Phone 770-513-0839

Mailing address

601a Professional Dr
Lawrenceville, GA 30046-3325

Phone 770-513-0839

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