Individual
ANIA AYODELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
12899 E 76TH ST N STE 109, OWASSO, OK 74055-4059
(918) 609-6003
Mailing address
12899 E 76TH ST N STE 109, OWASSO, OK 74055-4059
(918) 609-6003
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2026
OK
Other
Enumeration date
01/07/2021
Last updated
05/06/2021
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