Individual
GANIYU FOLABI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
6701 IRONBRIDGE PKWY, CHESTER, VA 23831-1469
(804) 318-3304
Mailing address
9014 PATTERSON AVE APT 9, HENRICO, VA 23229-6150
(804) 243-9937
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002376
VA
Other
Enumeration date
10/10/2021
Last updated
10/10/2021
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