NPI 1356106249 · live from the CMS NPI Registry
Bosede Ajiboye
Physical Therapist in Kennett Square, PA. National Provider Identifier 1356106249, active.
NPI record
| NPI | 1356106249 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 415 Mcfarlan Rd Ste 200, Kennett Square, PA 19348 |
| Practice phone | 484-720-8252 |
| Mailing address | 5531 5th St Ne, Washington, DC 20011 |
| Enumerated | February 19, 2024 |
| Last updated | May 8, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.