Individual
MS. BOLAJOKO OSHIKANLU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
16 CHESTNUT RD, AMITYVILLE, NY 11701-1006
(516) 680-4508
(631) 957-1977
Mailing address
16 CHESTNUT RD, AMITYVILLE, NY 11701-1006
(516) 680-4508
(631) 957-1977
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10840-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000088713
GHI
NY
Enumeration date
01/16/2007
Last updated
07/08/2007
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