Provider Demographics
NPI:1144218736
Name:ATORO-ODUEYUNGBO, TOYIN (PT)
Entity Type:Individual
Prefix:DR
First Name:TOYIN
Middle Name:
Last Name:ATORO-ODUEYUNGBO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4136
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03302-4136
Mailing Address - Country:US
Mailing Address - Phone:603-942-9933
Mailing Address - Fax:
Practice Address - Street 1:488 FIRST NH TPKE
Practice Address - Street 2:
Practice Address - City:NORTHWOOD
Practice Address - State:NH
Practice Address - Zip Code:03261-3410
Practice Address - Country:US
Practice Address - Phone:603-942-9933
Practice Address - Fax:603-224-5601
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-09
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1935225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHATRE5109Medicare ID - Type UnspecifiedPHYSICAL THERAPY