DR. Omolola Omishore, PT,DPT,ATC

NPI #1366890089 in Quartz Hill, California

Provider Information

NPI Number: 1366890089
Entity Type: Individual
Name: DR. Omolola Omishore, PT,DPT,ATC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT,DPT,ATC
Enumeration Date: Jun 3, 2016
Last Updated: Jun 3, 2016

Practice Location

Address: 43415 HAMPTON ST
City: Quartz Hill
State: California
ZIP Code: 93536
Phone: (917) 319-2245

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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