| Oluwadare Samson Kolurejo, | |
|
2210 Rustic Chapel Ct, Fresno, TX 77545-2211 | |
| (832) 759-4200 | |
| Not Available |
| Full Name | Oluwadare Samson Kolurejo |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 2210 Rustic Chapel Ct, Fresno, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083298988 | NPI | - | NPPES |
| 43674520 | Other | TX | TEXAS ID |
| 43674520 | Other | TX | DRIVER LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1351279 (Texas) | Primary |
| 225200000X | Physical Therapy Assistant | 2161394 (Texas) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Oluwadare Samson Kolurejo, 2210 Rustic Chapel Ct, Fresno, TX 77545-2211 Ph: (832) 759-4200 | Oluwadare Samson Kolurejo, 2210 Rustic Chapel Ct, Fresno, TX 77545-2211 Ph: (832) 759-4200 |
Brad Webb, Physical Therapist Medicare: Medicare Enrolled Practice Location: 2511 Red Creek Ct, Fresno, TX 77545 Phone: 832-338-4614 | |
Dtf Koluz Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2210 Rustic Chapel Ct, Fresno, TX 77545 Phone: 832-759-4200 |