Most Relevant Information
Provider Data
| NPI Number: | 1003068560 |
| Provider Name: | ANNE AJIYI BAMIDELE PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | 06003312A |
Most Important Dates
| Enumeration Date: | 10/16/2008 |
| Last Updated: | 03/06/2024 |
Provider Practice Location
2400 CHATEAU DR
MUNCIE
IN
473031900
Practice Location Phone/Fax
| Phone: | 7657479045 |
| Fax: |
Provider Mailing Location
3601 W MOORE RD
MUNCIE
IN
473045947
Provider Mailing Phone/Fax
| Phone: | 7652899542 |
| Fax: |