Healthcare Provider Details

I. General information

NPI: 1528758109
Provider Name (Legal Business Name): OLUWATOSIN VICTORIA OLOWOYEYE PT, DPT, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2023
Last Update Date: 08/15/2023
Certification Date: 08/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17324A HIGHWAY 3
WEBSTER TX
77598-4133
US

IV. Provider business mailing address

13555 CULLEN BLVD APT 3206
HOUSTON TX
77047-3854
US

V. Phone/Fax

Practice location:
  • Phone: 281-332-3000
  • Fax: 281-332-9171
Mailing address:
  • Phone: 214-675-5561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1322047
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: