MEDICARE: BINISH ALI

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
1	225X00000X	Occupational Therapist	3336	AL
2	225X00000X	Occupational Therapist	OT010000710	DC

General Provider Information

NPI Number	:	1831478304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BINISH ALI

Provider Business Mailing Address
First Line	:	3165 HOLIDAY SPRINGS BLVD APT 24
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33063-5461
Country	:	US
Telephone Number	:	954-907-1052
Fax Number	:

Provider Business Practice Location Address
First Line	:	3165 HOLIDAY SPRINGS BLVD APT 24
Second Line	:
City	:	MARGATE
State	:	FL
Zip	:	33063-5461
Country	:	US
Telephone Number	:	954-907-1052
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2011
Last Update Date	:	08/15/2011

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Directions to “ BINISH ALI ” Practice Location

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