Provider Demographics
NPI:1528758109
Name:OLOWOYEYE, OLUWATOSIN VICTORIA (PT, DPT, MS)
Entity type:Individual
Prefix:DR
First Name:OLUWATOSIN
Middle Name:VICTORIA
Last Name:OLOWOYEYE
Suffix:
Gender:F
Credentials:PT, DPT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:13555 CULLEN BLVD APT 3206
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-3854
Mailing Address - Country:US
Mailing Address - Phone:214-675-5561
Mailing Address - Fax:
Practice Address - Street 1:17324A HIGHWAY 3
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4133
Practice Address - Country:US
Practice Address - Phone:281-332-3000
Practice Address - Fax:281-332-9171
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-08
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1322047225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist