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ANNE AJIYI BAMIDELE PTA

Individual Provider (NPI-1) Active

Occupational Therapist

Provider Information

NPI Number
1003068560
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
2400 CHATEAU DR, MUNCIE, IN, 473031900
Phone
(765) 747-9045

Specialties & Taxonomies

Physical Therapy Assistant License: IN #06003312A
Occupational Therapist Primary License: IN #31005495A

All Addresses

LOCATION

2400 CHATEAU DR

MUNCIE, IN, 473031900

(765) 747-9045

MAILING

3601 W MOORE RD

MUNCIE, IN, 473045947

(765) 289-9542