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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IYANU MARY DARAMOLA

Active

IYANU MARY DARAMOLA is a Occupational Therapy Assistant healthcare provider located in CHAMPLIN, Minnesota. NPI 1417813999 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · CHAMPLIN, MN

Registration Details

NPI Number
1417813999
Provider Type
Individual
Gender
Female
NPI Issued
Dec 29, 2025 (0.43846012626871 yrs)
Last Updated
Dec 29, 2025

Practice Information

Address
13331 LINWOOD FOREST CIR # NA
CHAMPLIN, MN, 553161019
Browse MN providers · Browse ZIP 55316
Phone
7633183178
Primary Specialty
Occupational Therapy Assistant
225400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.