Basic Information
| Provider Information | |||||||||
| NPI: | 1821287442 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OGUNDIPE | ||||||||
| FirstName: | BABAJIDE | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6410 ROCKLEDGE DR | ||||||||
| Address2: | NRH REGIONAL REHAB - SUITE 600 | ||||||||
| City: | BETHESDA | ||||||||
| State: | MD | ||||||||
| PostalCode: | 208171809 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3015818051 | ||||||||
| FaxNumber: | 3015640284 | ||||||||
| Practice Location | |||||||||
| Address1: | 6196 OXON HILL RD | ||||||||
| Address2: | |||||||||
| City: | OXON HILL | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207453100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3015818051 | ||||||||
| FaxNumber: | 3015640284 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/19/2007 | ||||||||
| LastUpdateDate: | 10/19/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 22331 | MD | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.