Individual
TOSIN KOYA-KUKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2614 NEMO CT, BOWIE, MD 20716-1461
(240) 714-6222
Mailing address
555 MULBERRY COURT, MINNEAPOLIS, MN 55414
(240) 555-5555
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
08369
MD
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
09/17/2019
Last updated
02/02/2024
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