Individual
TANYA ILUYOMADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3180 KAREN WHITE DR, SUWANEE, GA 30024-1358
(770) 869-2824
Mailing address
5289 CRESSLYN RDG, JOHNS CREEK, GA 30005-2600
(832) 545-9023
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009273
GA
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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