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NPI Code Detail

MEDICARE: ROSELINE IFEDAYO OYEBANJI

MEDICARE: ROSELINE IFEDAYO OYEBANJI
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
12251G0304XGeriatric Physical TherapistPT021005OH

General Provider Information

NPI Number : 1396522744
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSELINE IFEDAYO OYEBANJI
Provider Business Mailing Address
First Line : 2199 N TAYLOR RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44112-3051
Country : US
Telephone Number : 347-534-2516
Fax Number : 309-569-0574
Provider Business Practice Location Address
First Line : 261 RICHMOND RD
Second Line :
City : RICHMOND HEIGHTS
State : OH
Zip : 44143-4422
Country : US
Telephone Number : 309-569-0574
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2023
Last Update Date : 12/29/2025

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Directions to “ ROSELINE IFEDAYO OYEBANJI ” Practice Location

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