Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OLALEKAN LUKMAN GANIYU, PT, MHSC, MTC
Active Sole ProprietorOLALEKAN LUKMAN GANIYU, PT, MHSC, MTC is a Physical Therapy Clinic healthcare provider located in GLENDALE, Wisconsin. NPI 1366548919 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Clinic · GLENDALE, WI
Registration Details
- NPI Number
- 1366548919
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 14, 2006 (19.92560323506 yrs)
- Last Updated
- Aug 22, 2019
- License
-
024- 5648 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2500 W SILVER SPRING DRSTE AGLENDALE, WI, 532094218Browse WI providers · Browse ZIP 53209
- Phone
- 6083689783
- Fax
- 6083689784
- Primary Specialty
-
Physical Therapy Clinic
261QP2000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.