Individual
MR. ADEYEM OLUROTIMI OLOYEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
753 NW FORT SILL BLVD, LAWTON, OK 73507-5421
(580) 357-6900
Mailing address
753 NW FORT SILL BLVD, LAWTON, OK 73507-5421
(580) 357-6900
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
155
OK
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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