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NPI Code Detail

MEDICARE: ANGELA OLUJIMI OTR/L

MEDICARE: ANGELA OLUJIMI OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistNY
2225X00000XOccupational Therapist014375NY

General Provider Information

NPI Number : 1811174295
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA OLUJIMI OTR/L
Provider Business Mailing Address
First Line : 750 HICKSVILLE RD
Second Line :
City : SEAFORD
State : NY
Zip : 11783-1328
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 750 HICKSVILLE RD
Second Line :
City : SEAFORD
State : NY
Zip : 11783-1328
Country : US
Telephone Number : 516-520-6000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2008
Last Update Date : 08/03/2017

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