MEDICARE: JAMILLA AZIZA 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	224Z00000X	Occupational Therapy Assistant	OP01675	PA

General Provider Information

NPI Number	:	1851249791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMILLA AZIZA ALI

Provider Business Mailing Address
First Line	:	1624 W LOUDON ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19141-1510
Country	:	US
Telephone Number	:	267-990-5305
Fax Number	:

Provider Business Practice Location Address
First Line	:	1624 W LOUDON ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19141-1510
Country	:	US
Telephone Number	:	267-990-5305
Fax Number	:

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

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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Directions to “ JAMILLA AZIZA ALI ” Practice Location

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