Provider Demographics
NPI:1215557822
Name:ONAYIGA, ELIZABETH AJOKE
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:AJOKE
Last Name:ONAYIGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 MARLEY STATION RD
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21060-7717
Mailing Address - Country:US
Mailing Address - Phone:443-219-2882
Mailing Address - Fax:443-219-2882
Practice Address - Street 1:516 MARLEY STATION RD
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21060-7717
Practice Address - Country:US
Practice Address - Phone:443-219-2882
Practice Address - Fax:443-219-2882
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-23
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR41302279H0200X, 104100000X, 225X00000X, 235Z00000X, 251F00000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2279H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredHome HealthGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No251F00000XAgenciesHome InfusionGroup - Multi-Specialty