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Thompson Ibidun

Physical Therapist in Laurel, MD. Individual provider (NPI-1).

NPI number1861695546
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1861695546
Entity type
Individual (NPI-1)
Name
Thompson Ibidun
Sex
Male
Sole proprietor
No
Enumeration date
Jun 8, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist18394MDYes

Practice location

14409 Greenview Dr Ste 102
Laurel, MD 20708-4213

Phone 301-498-8100 · Fax 301-498-0009

Mailing address

14409 Greenview Dr Ste 102
Laurel, MD 20708-4213

Phone 301-498-8100 · Fax 301-498-0009

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