Individual
OLUBUKOLA TIFASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6500 RIGGS RD, HYATTSVILLE, MD 20783-3056
(301) 599-0300
Mailing address
11215 GEORGIA AVE, UNIT 1131, SILVER SPRING, MD 20902-7655
(410) 497-2074
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
80671
MD
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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