Individual
ANDREA OSUNBOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3100 OLYMPUS BLVD STE 500, COPPELL, TX 75019-5473
(866) 221-5405
Mailing address
3100 OLYMPUS BLVD STE 500, COPPELL, TX 75019-5473
(866) 221-5405
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
215777
TX
224Z00000X
Occupational Therapy Assistant
Primary
5001
CA
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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