Oluwole Fasuba, PT
NPI #1376257030 in Irvington, New Jersey
Provider Information
- NPI Number
- 1376257030
- Entity Type
- Individual
- Name
- Oluwole Fasuba, PT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Jan 9, 2023
- Last Updated
- Jan 9, 2023
Practice Location
- Address
- 599-601 20TH ST APT 3
- City
- Irvington
- State
- New Jersey
- ZIP Code
- 07111-4500
- Phone
- (973) 277-2536
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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