Mobolaji Kazeem Ogunmodede, COTA Valid NPI

Individual provider · Occupational Therapy Assistant · Naperville, IL

NPI

1144843129

Type

Individual (Type 1)

Primary specialty

Occupational Therapy Assistant

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

224Z00000X

License number

057.005212 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2020-05-25

Last updated

2025-06-24