Individual
MISS ADEOLA F OTULAJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1752 PARK AVE, NEW YORK, NY 10035-2811
(646) 686-0000
Mailing address
18620 MANGIN AVE, SAINT ALBANS, NY 11412-2314
(347) 942-7705
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
026915
NY
Other
Enumeration date
09/14/2022
Last updated
09/17/2022
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