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

FATAI BOLAJI ADISA, PT

Active Sole Proprietor

FATAI BOLAJI ADISA, PT is a Physical Therapy Assistant healthcare provider located in MERRILLVILLE, Indiana. NPI 1710930011 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MERRILLVILLE, IN

Registration Details

NPI Number
1710930011
Provider Type
Individual
Gender
Male
NPI Issued
May 18, 2006 (20.212354235304 yrs)
Last Updated
Nov 20, 2019
License
05005905A (IN)
Sole Proprietor
Yes

Practice Information

Address
8691 CONNECTICUT ST
STE C
MERRILLVILLE, IN, 464105541
Browse IN providers · Browse ZIP 46410
Phone
2195254176
Fax
2194720841
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MERRILLVILLE, IN

Name Credential NPI
MRS. SAVITA M. CHATFIELD D.P.T. 1992794168
MICHAEL S. ADELEKE P.T. 1447221700
SHERALEE PRADEEP SHAH DPT 1790736627
DARREN EARNSHAW PT 1346270162
GWEN ALANE GRAYSTONE P.T. 1972527927
MRS. NICOLE SUZANNE BOLDA I PT 1255355780
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.