Individual
OLUTOSIN O OKON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
402 10TH ST SE, SUITE 700, CEDAR RAPIDS, IA 52403-2435
(319) 365-9439
Mailing address
2109 HOLIDAY RD, CORALVILLE, IA 52241-2713
(319) 358-6609
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
03550
IA
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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