Individual
KIKELOMO IDOWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8880 GOOSE LANDING CIR, COLUMBIA, MD 21045-2173
(443) 367-1264
Mailing address
8880 GOOSE LANDING CIR, COLUMBIA, MD 21045-2173
(443) 367-1264
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07372
MD
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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