Oluwadamilare Aina, OTR/L
Individual provider Active NPI Occupational Therapist · Marietta, GA
NPI 1013387976 · NPPES record last updated May 18, 2017
Key facts
- NPI
- 1013387976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- Practice address
- 104 Augusta Dr SE
Marietta, GA 30067-8202 - Phone
- (404) 345-4144
- NPI assigned
- Oct 3, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | Yes |
Addresses
Primary practice location
104 Augusta Dr SE
Marietta, GA 30067-8202
Mailing address
4009 Snowshoe Court
Acworth, GA 30067-8202
Phone (770) 672-0589
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- Bolanle O Aiyeola
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All providers in Marietta, GA · Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.