Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 04915 | MD |
N | 225XG0600X | Occupational Therapist - Gerontology | 04915 | MD |
NPI | 1811267453 |
---|---|
Provider Name | Oluwabumi Y Akinfolarin |
First Address | Bowie, MD 20721-2447 |
Second Address | Forestville, MD 20747-4343 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2012 |
Last Update Date | 11/01/2012 |