Provider Demographics
NPI:1679971048
Name:ATUNRASE, OLUTOMI (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:OLUTOMI
Middle Name:
Last Name:ATUNRASE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 740038
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77274-0038
Mailing Address - Country:US
Mailing Address - Phone:713-893-3376
Mailing Address - Fax:
Practice Address - Street 1:6315 GULFTON ST STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-1107
Practice Address - Country:US
Practice Address - Phone:713-255-2347
Practice Address - Fax:713-457-4385
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY038326-1225100000X
TX1253107225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist