Individual
TAIWO A AJIBADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1316 N TIBBS AVE, INDIANAPOLIS, IN 46222-3024
(317) 835-9016
Mailing address
8052 MATTERHORN LN APT D118, CROWN POINT, IN 46307-1153
(708) 501-1704
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003209A
IN
Other
Enumeration date
11/07/2023
Last updated
11/07/2023
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