Provider Demographics
NPI:1740679422
Name:ABIDAKUN, OLUWASETO (OTR/L)
Entity type:Individual
Prefix:MR
First Name:OLUWASETO
Middle Name:
Last Name:ABIDAKUN
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9100 SOUTHWEST FWY STE 161
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1584
Mailing Address - Country:US
Mailing Address - Phone:713-471-0163
Mailing Address - Fax:
Practice Address - Street 1:9100 SOUTHWEST FWY STE 161
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1584
Practice Address - Country:US
Practice Address - Phone:713-471-0163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-17
Last Update Date:2022-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115477225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist