Victor Omotayo Omotunde P.T.,DPT

NPI 1790969632 - Physical Therapist - 225100000X

NPI Details
NPI 1790969632
Gender Male
Enumeration Date 12/27/2007
Last Updated 12/27/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
3936 ALTRURIA RD
BARTLETT TN, 38135-1547, US
Phone (901) 937-7641
Fax (901) 937-0712
Business Location
3936 ALTRURIA RD
BARTLETT TN, 38135-1547, US
Phone (901) 937-7641
Fax (901) 937-0712
Toxanomy
Taxonomy Code 225100000X
License State Tennessee
License Number PT0000003392
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According to our database, Dr. Victor Omotayo Omotunde P.T.,DPT NPI is 1790969632, taxonomy code is 225100000X and license number is PT0000003392, license state is located at Tennessee. Victor Omotayo Omotunde P.T.,DPT physically located at 3936 Altruria Rd, Bartlett TN, 38135-1547. NPI Number Victor Omotayo Omotunde P.T.,DPT has the Individual type.

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1790969632 NPI number is provided on an as is basis without warranty of any kind. 1790969632 is maintained by the National Plan & Provider Enumeration System. The contents of Victor Omotayo Omotunde P.T.,DPT are for informational purposes only.