Provider Demographics
NPI:1952501033
Name:OLOYEDE, ABIYE OLUBUNMI (PT)
Entity Type:Individual
Prefix:MRS
First Name:ABIYE
Middle Name:OLUBUNMI
Last Name:OLOYEDE
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 1:2670 S ABILENE ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2336
Mailing Address - Country:US
Mailing Address - Phone:303-513-1488
Mailing Address - Fax:720-748-3953
Practice Address - Street 1:2670 S ABILENE ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2336
Practice Address - Country:US
Practice Address - Phone:303-513-1488
Practice Address - Fax:720-748-3953
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJPTL-7107225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist