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NPI Code Detail

MEDICARE: IRETI AKINGBADE

MEDICARE: IRETI AKINGBADE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant501569TX

General Provider Information

NPI Number : 1497699219
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRETI AKINGBADE
Provider Business Mailing Address
First Line : 2904 SHANNON LN
Second Line :
City : GRAND PRAIRIE
State : TX
Zip : 75052-8010
Country : US
Telephone Number : 817-921-5020
Fax Number :
Provider Business Practice Location Address
First Line : 1351 E BARDIN RD STE 160
Second Line :
City : ARLINGTON
State : TX
Zip : 76018-2137
Country : US
Telephone Number : 817-795-1291
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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Directions to “ IRETI AKINGBADE ” Practice Location

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