Provider Demographics
NPI:1811121734
Name:KALEJAIYE, OLUYEMISI ADEOLA (PT)
Entity type:Individual
Prefix:MS
First Name:OLUYEMISI
Middle Name:ADEOLA
Last Name:KALEJAIYE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2104 PINEY BRANCH CIR APT 427
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-1837
Mailing Address - Country:US
Mailing Address - Phone:443-657-3036
Mailing Address - Fax:888-460-0827
Practice Address - Street 1:5457 TWIN KNOLLS RD STE 300
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-3259
Practice Address - Country:US
Practice Address - Phone:410-889-0727
Practice Address - Fax:410-889-0729
Is Sole Proprietor?:No
Enumeration Date:2009-05-06
Last Update Date:2018-04-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD22490225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist