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NPI Code Detail

MEDICARE: NADA ALI AL-YAFAI OTR/L

MEDICARE:   NADA ALI AL-YAFAI  OTR/L
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
1225X00000XOccupational Therapist119540TX

General Provider Information

NPI Number : 1710519632
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADA ALI AL-YAFAI OTR/L
Provider Business Mailing Address
First Line : 404 HOLLY PARK DR APT 2106
Second Line :
City : ARLINGTON
State : TX
Zip : 76014-2057
Country : US
Telephone Number : 817-896-5291
Fax Number :
Provider Business Practice Location Address
First Line : 14651 DALLAS PKWY STE 200
Second Line :
City : DALLAS
State : TX
Zip : 75254-8856
Country : US
Telephone Number : 866-919-3240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2020
Last Update Date : 02/08/2020

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Directions to “ NADA ALI AL-YAFAI OTR/L” Practice Location

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