Individual provider · NPI-1

Oluwadamilare Aina, OTR/L

Occupational Therapist · Marietta, GA

NPI number1013387976
StatusActive
Last updated in NPPESMay 18, 2017

Details

NPI
1013387976
Entity type
Individual (NPI-1)
Name
Mr. Oluwadamilare Aina
Credential
OTR/L
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 3, 2015
Last updated
May 18, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist––Yes

Practice location

104 Augusta Dr Se
Marietta, GA 30067-8202

Phone 404-345-4144

Mailing address

4009 Snowshoe Court
Acworth, GA 30067-8202

Phone 770-672-0589

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