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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. OMOLOLA OMISHORE, PT,DPT,ATC

Active Sole Proprietor

DR. OMOLOLA OMISHORE, PT,DPT,ATC is a Physical Therapy Assistant healthcare provider located in QUARTZ HILL, California. NPI 1366890089 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · QUARTZ HILL, CA

Registration Details

NPI Number
1366890089
Provider Type
Individual
Gender
Female
NPI Issued
Jun 3, 2016 (10.156898246139 yrs)
Last Updated
Jun 3, 2016
Licenses
41650 (CA)
040108 (NY)
Sole Proprietor
Yes

Practice Information

Address
43415 HAMPTON ST
QUARTZ HILL, CA, 93536
Browse CA providers · Browse ZIP 93536
Phone
9173192245
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in QUARTZ HILL, CA

Name Credential NPI
JOHNNIE HARRISON DPT 1881097491
FLORENCE STA JUANA ORBIGOSO-CUEVAS DPT 1013476415
ERNEST MICHAEL REYES 1518839414
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.