Provider Demographics
NPI:1063919470
Name:OLAKPE, MYRIAH SHEKINAH (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:MYRIAH
Middle Name:SHEKINAH
Last Name:OLAKPE
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:MYRIAH
Other - Middle Name:SHEKINAH
Other - Last Name:KINGSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:516 SE 23RD AVE
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98372
Mailing Address - Country:US
Mailing Address - Phone:235-845-6631
Mailing Address - Fax:412-741-6808
Practice Address - Street 1:516 SE 23RD AVE
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372
Practice Address - Country:US
Practice Address - Phone:235-845-6631
Practice Address - Fax:412-741-6808
Is Sole Proprietor?:No
Enumeration Date:2018-04-11
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC015018225X00000X
WAOT60993392225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist