Provider Demographics
NPI:1669583217
Name:ABIOYE, OLADOSU SAMUEL (PHYSICAL THERAPY)
Entity type:Individual
Prefix:
First Name:OLADOSU
Middle Name:SAMUEL
Last Name:ABIOYE
Suffix:
Gender:M
Credentials:PHYSICAL THERAPY
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Mailing Address - Street 1:7870 BROADWAY
Mailing Address - Street 2:STE N
Mailing Address - City:MERRILLVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46410-5542
Mailing Address - Country:US
Mailing Address - Phone:219-884-1875
Mailing Address - Fax:219-884-1895
Practice Address - Street 1:7870 BROADWAY
Practice Address - Street 2:STE N
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-5542
Practice Address - Country:US
Practice Address - Phone:219-884-1875
Practice Address - Fax:219-884-1895
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2019-03-31
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Provider Licenses
StateLicense IDTaxonomies
IN05007247A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist