OLUWASOLA OLABODE AIYEGBUSI

BALLWIN, MO
NPI1730516402
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MO  2011020747)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: NY  016620)
225X00000X Occupational Therapist
(Licence: DC  OT010000914)
225X00000X Occupational Therapist
(Licence: MD  07218)
Enumeration Date2013-09-26
Last Update Date2013-09-26
Business Address
OLUWASOLA OLABODE AIYEGBUSI OTR/L
6 COOL MEADOWS DR
BALLWIN, MO 63011-3883
Phone number: 510-318-1314
Mailing Address
OLUWASOLA OLABODE AIYEGBUSI OTR/L
6 COOL MEADOWS DR
BALLWIN, MO 63011-3883
Phone number: 510-318-1314