Oluwasola Olabode Aiyegbusi, OT/L
Occupational Therapist in Los Angeles, CA. Individual provider (NPI-1).
NPI number1730516402
StatusActive
Last updated in NPPESNov 5, 2024
Details
- NPI
- 1730516402
- Entity type
- Individual (NPI-1)
- Name
- Oluwasola Olabode Aiyegbusi
- Credential
- OT/L
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 26, 2013
- Certification date
- Nov 5, 2024
- Last updated
- Nov 5, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 26749 | CA | Yes |
Practice location
342 Hauser BlvdLos Angeles, CA 90036-5614
Phone 510-318-1314
Mailing address
342 Hauser BlvdLos Angeles, CA 90036-5614
Phone 510-318-1314
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