Provider Demographics
NPI:1922650993
Name:OKE, OLUWATOBI ADEBAYO OSEMEKA (DPT)
Entity type:Individual
Prefix:
First Name:OLUWATOBI
Middle Name:ADEBAYO OSEMEKA
Last Name:OKE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6707 DEMOCRACY BLVD STE 504
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-1166
Mailing Address - Country:US
Mailing Address - Phone:301-637-8712
Mailing Address - Fax:301-547-3366
Practice Address - Street 1:6707 DEMOCRACY BLVD STE 504
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1166
Practice Address - Country:US
Practice Address - Phone:301-637-8712
Practice Address - Fax:301-547-3366
Is Sole Proprietor?:No
Enumeration Date:2019-07-10
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27528225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD27528OtherMD DEPARTMENT OF HEALTH