Provider Demographics
NPI:1376665547
Name:OKUNSEINDE, OLUKEMI F (MPT)
Entity Type:Individual
Prefix:
First Name:OLUKEMI
Middle Name:F
Last Name:OKUNSEINDE
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5530 WISCONSIN AVE
Mailing Address - Street 2:STE 1660
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4322
Mailing Address - Country:US
Mailing Address - Phone:301-657-9876
Mailing Address - Fax:301-657-8229
Practice Address - Street 1:1505 SW CARY PKWY
Practice Address - Street 2:SUITE 304
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-6219
Practice Address - Country:US
Practice Address - Phone:919-463-9443
Practice Address - Fax:919-463-9466
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2016-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD19925225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist