Individual
OMOLOLU OLANIYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8585 SIENNA SPRINGS BLVD APT 723, MISSOURI CITY, TX 77459-7204
(346) 412-3764
Mailing address
8585 SIENNA SPRINGS BLVD APT 723, MISSOURI CITY, TX 77459-7204
(346) 412-3764
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216946
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43100220
DRIVER LICENSE
TX
Enumeration date
08/04/2021
Last updated
08/04/2021
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