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NPI Code Detail

MEDICARE: AISHAT ODEJAYI

MEDICARE:   AISHAT  ODEJAYI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist26588MD

General Provider Information

NPI Number : 1639698616
Entity Type Code : Individual
Provider Name (Legal Business Name) : AISHAT ODEJAYI
Provider Business Mailing Address
First Line : 501 FAIRMOUNT AVE STE 302
Second Line :
City : TOWSON
State : MD
Zip : 21286-5494
Country : US
Telephone Number : 410-927-8768
Fax Number :
Provider Business Practice Location Address
First Line : 10039 BALTIMORE NATIONAL PIKE STE L
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21042-4044
Country : US
Telephone Number : 410-988-4319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2017
Last Update Date : 09/12/2017

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Directions to “ AISHAT ODEJAYI ” Practice Location

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