Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OLUDARE EWETUSA, PTA
Active Sole ProprietorOLUDARE EWETUSA, PTA is a Occupational Therapist healthcare provider located in FAIRFAX, Virginia. NPI 1487165973 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · FAIRFAX, VA
Registration Details
- NPI Number
- 1487165973
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 24, 2017 (8.7863261566065 yrs)
- Last Updated
- Nov 5, 2025
- License
-
2306604918 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
11166 FAIRFAX BLVD STE 500FAIRFAX, VA, 220305017Browse VA providers · Browse ZIP 22030
- Phone
- 5714640961
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in FAIRFAX, VA
| Name | Credential | NPI |
|---|---|---|
| VIRGINIA J FOX | PTA | 1780918870 |
| MS. ELSIE ALLEN HENNIG | LPTA | 1851666465 |
| MR. DEVON PALERMO | LPTA, CPT | 1508131012 |
| KATHRYN ELIZABETH CANYON | PTA | 1245593029 |
| REBKA S TESFAYE | PTA | 1841546686 |
| SHEENA KIRAN JOSEPH-BALI | LPTA | 1932457223 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.