Provider Demographics
NPI:1720324148
Name:OROGE, ADEWUMI ADEMOLA (OTR/L)
Entity Type:Individual
Prefix:
First Name:ADEWUMI
Middle Name:ADEMOLA
Last Name:OROGE
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 1:9100 WIPKEY CT
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-3233
Mailing Address - Country:US
Mailing Address - Phone:130-176-8587
Mailing Address - Fax:202-545-0176
Practice Address - Street 1:9100 WIPKEY CT
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-3233
Practice Address - Country:US
Practice Address - Phone:130-176-8587
Practice Address - Fax:844-211-5123
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-13
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07816225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist