Provider Demographics
NPI:1013387976
Name:AINA, OLUWADAMILARE (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:OLUWADAMILARE
Middle Name:
Last Name:AINA
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4009 SNOWSHOE COURT
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30067-8202
Mailing Address - Country:US
Mailing Address - Phone:770-672-0589
Mailing Address - Fax:
Practice Address - Street 1:104 AUGUSTA DR SE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-8202
Practice Address - Country:US
Practice Address - Phone:404-345-4144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-03
Last Update Date:2017-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist