Individual ProviderAdetola AdeshukoPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address910 Frederick Rd, Catonsville, MD 21228-4516(410) 644-1880PECOS EnrollmentBased on the most recent information from CMS, provider Adetola Adeshuko does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1770890477Provider TypeIndividualFull NameAdeshuko, AdetolaCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date9/2/2010Last Updated3/1/2023Contact InformationPractice LocationPractice Address910 Frederick Rd, Catonsville, MD 21228-4516Phone(410) 644-1880Fax(410) 646-3623Mailing LocationMailing Address910 Frederick Rd, Catonsville, MD 21228-4516Phone(410) 644-1880Fax(410) 646-3623Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense23671Maryland