Provider Demographics
NPI:1871891333
Name:OLAYINKA, GEORGE
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:OLAYINKA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1105 SPRING ST
Mailing Address - Street 2:SUITE H
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4026
Mailing Address - Country:US
Mailing Address - Phone:301-562-1116
Mailing Address - Fax:301-562-1317
Practice Address - Street 1:1105 SPRING ST
Practice Address - Street 2:SUITE H
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4026
Practice Address - Country:US
Practice Address - Phone:301-562-1116
Practice Address - Fax:301-562-1317
Is Sole Proprietor?:No
Enumeration Date:2011-03-08
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23544225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist