Provider Demographics
NPI:1316321847
Name:ADEKOYA, LATOYA (OTR, MOT)
Entity type:Individual
Prefix:MS
First Name:LATOYA
Middle Name:
Last Name:ADEKOYA
Suffix:
Gender:F
Credentials:OTR, MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3415 VELASCO CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6387
Mailing Address - Country:US
Mailing Address - Phone:832-496-5257
Mailing Address - Fax:
Practice Address - Street 1:3415 VELASCO CT
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-6387
Practice Address - Country:US
Practice Address - Phone:832-496-5257
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-14
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115728225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist