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General NPI Number Information
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NPI Number | 1063377125
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Entity Type | Organization
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Legal Business Name | YITH GERIATRICS REHAB& WELL-BEING SERVICES PLLC
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Dates
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Enumeration Date | 12/22/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 9604 NW 126TH ST
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City | YUKON
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State | OK
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Zip | 73099-9697
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Country | US
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Telephone | 405-706-7304
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Fax |
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Provider Business Mailing Address
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Address Line | 9604 NW 126TH ST
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City | YUKON
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State | OK
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Zip | 73099-9697
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Country | US
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Telephone | 405-706-7304
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TEMITOPE GABRIEL OLANIWUN
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Credential | PT,DPT
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Telephone | 405-706-7304
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number |
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License Number State |
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