IndividualActive
Ademola Fatade, OTA
NPI 1053174540 · Occupational Therapy Assistant · Pensacola, FL
Provider details
- NPI number
- 1053174540
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTA
- Sex
- Male
- Sole proprietor
- No
- License
- 19726 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2910 W Desoto St
Pensacola, FL 32505-6161
Phone: (850) 324-1494
Fax: (850) 782-0058
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 56
Water Valley, MS 38965-0056
Registry dates
- Enumerated
- 2024-02-06
- Last updated
- 2024-02-06
- Certified
- 2024-02-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.