Healthcare Provider Details
I. General information
NPI: 1629729561
Provider Name (Legal Business Name): TENSILE STRENGTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/12/2022
Last Update Date: 01/12/2022
Certification Date: 01/12/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
635 MORRIS AVE APT 341
BRONX NY
10451-4757
US
IV. Provider business mailing address
7652 BELAIR RD STE A
BALTIMORE MD
21236-4067
US
V. Phone/Fax
- Phone: 410-927-3510
- Fax:
- Phone: 410-927-3510
- Fax: 410-656-2351
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163WW0000X |
| Taxonomy | Wound Care Registered Nurse |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
SOLOMON
ALUKO
Title or Position: OWNER
Credential: FNP
Phone: 410-927-3510