Individual provider · NPI-1

Adetunji Abiodun Adeleke

Occupational Therapist · Conroe, TX

NPI number1609419803
StatusActive
Last updated in NPPESOct 21, 2019

Details

NPI
1609419803
Entity type
Individual (NPI-1)
Name
Mr. Adetunji Abiodun Adeleke
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 21, 2019
Last updated
Oct 21, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist118463TXYes

Practice location

387 Oak Stream Dr
Conroe, TX 77304-5628

Phone 920-970-6374

Mailing address

387 Oak Stream Dr
Conroe, TX 77304-5628

Phone 920-970-6374

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