Provider Demographics
NPI:1679522239
Name:O.A.O THERAPY AND CONSULTING, LLC
Entity Type:Organization
Organization Name:O.A.O THERAPY AND CONSULTING, LLC
Other - Org Name:O.A.O THERAPY AND CONSULTING
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:OYAKHILOMEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:OMOIKE
Authorized Official - Suffix:
Authorized Official - Credentials:DSC, MPT, MBA
Authorized Official - Phone:202-492-4233
Mailing Address - Street 1:9616 OXBRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:MITCHELLVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-3115
Mailing Address - Country:US
Mailing Address - Phone:202-492-4233
Mailing Address - Fax:
Practice Address - Street 1:9616 OXBRIDGE WAY
Practice Address - Street 2:
Practice Address - City:MITCHELLVILLE
Practice Address - State:MD
Practice Address - Zip Code:20721-3115
Practice Address - Country:US
Practice Address - Phone:202-492-4233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPT870066225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty