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Individual

FOLAKE AYEGBUSI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
4467 OLD BRANCH AVE STE 103, TEMPLE HILLS, MD 20748-1854
(301) 358-6155
Mailing address
6616 IAN ST, NEW CARROLLTON, MD 20784-3630
(301) 683-4219

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
09483
MD

Other

Enumeration date
12/02/2021
Last updated
01/31/2024
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