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NPI Code Detail

MEDICARE: MS. KASARAH MARIE AL FLAHI OTR/L

MEDICARE: MS. KASARAH MARIE AL FLAHI 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 Therapist107080MN
2225X00000XOccupational TherapistCO

General Provider Information

NPI Number : 1790151496
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KASARAH MARIE AL FLAHI OTR/L
Provider Business Mailing Address
First Line : 6701 PARKWAY CIR STE 300
Second Line :
City : BROOKLYN CENTER
State : MN
Zip : 55430-2849
Country : US
Telephone Number : 651-428-9498
Fax Number :
Provider Business Practice Location Address
First Line : 6701 PARKWAY CIR STE 300
Second Line :
City : BROOKLYN CENTER
State : MN
Zip : 55430-2849
Country : US
Telephone Number : 612-400-6133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2015
Last Update Date : 02/28/2023

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