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NPI Code Detail

MEDICARE: FOLAYEMI FAWEHINMI

MEDICARE: FOLAYEMI FAWEHINMI
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 Therapist23015MD

General Provider Information

NPI Number : 1538445598
Entity Type Code : Individual
Provider Name (Legal Business Name) : FOLAYEMI FAWEHINMI
Provider Business Mailing Address
First Line : 9852 FAIRMONT AVE
Second Line :
City : MANASSAS
State : VA
Zip : 20109-3176
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2101 FAIRLAND RD
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-5427
Country : US
Telephone Number : 301-388-4069
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2011
Last Update Date : 02/15/2024

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Directions to “ FOLAYEMI FAWEHINMI ” Practice Location

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