Adelaja Alaba
Individual provider Active NPI Occupational Therapy Assistant · Ada, OK
NPI 1295590636 · NPPES record last updated Feb 15, 2024
Key facts
- NPI
- 1295590636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 430 N Monte Vista St
Ada, OK 74820-4610 - Phone
- (580) 332-2323
- NPI assigned
- Feb 15, 2024
- 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 Therapy Assistant | 224Z00000X | Yes |
Addresses
Primary practice location
430 N Monte Vista St
Ada, OK 74820-4610
Mailing address
219 Chateau Ave
Kennedale, TX 76060-2109
Phone (817) 501-5420
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All providers in Ada, OK · Occupational Therapy Assistant in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2024. 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.