The Socialite Pt Pllc

NPI #1710551130 in Austin, Texas

Provider Information

NPI Number: 1710551130
Entity Type: Organization
Organization Name: The Socialite Pt Pllc
Primary Specialty: Physical Therapist
Enumeration Date: May 19, 2021
Last Updated: May 19, 2021

Practice Location

Address: 5900 BALCONES DR STE 100
City: Austin
State: Texas
ZIP Code: 78731-4298
Phone: (512) 761-6571

Authorized Official

Name: DR. OLUWADAMILOLA ADEYEYE, PT,DPT
Title: CEO/PHYSICAL THERAPIST
Phone: (512) 761-6517

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist - Sports — Sports	2251S0007X
Physical Therapist - Orthopedic — Orthopedic	2251X0800X
Physical Therapist	225100000X	Primary

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