Individual provider · NPI-1

Akeem Adeniyi Bakare, PT

Physical Therapist · Glen Burnie, MD

NPI number1760024814
StatusActive
Last updated in NPPESDec 17, 2019

Details

NPI
1760024814
Entity type
Individual (NPI-1)
Name
Akeem Adeniyi Bakare
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Oct 10, 2019
Certification date
Dec 17, 2019
Last updated
Dec 17, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist27632MDYes

Practice location

1600 Crain Hwy S Ste 402
Glen Burnie, MD 21061-6437

Phone 410-590-0700

Mailing address

1600 Crain Hwy S Ste 401
Glen Burnie, MD 21061-6413

Phone 410-768-5050 · Fax 410-768-7830

Other practice locations

3800 Lottsford Vista Rd
Bowie, MD 20721-4018

Phone 205-240-8849

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