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Individual

RUFUS ONUS IYOHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OTR

Contact information

Practice address
1864 STONEBROOK DR NE, GRAND RAPIDS, MI 49505-6421
(269) 978-3062
Mailing address
13716 CORTES DE PALLAS DR, LITTLE ELM, TX 75068-0829
(469) 544-3993

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
114315
TX
225X00000X
Occupational Therapist
5201008002
MI
225XG0600X
Gerontology Occupational Therapist
Primary
114315
TX

Other

Enumeration date
07/29/2011
Last updated
07/25/2024
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