MEDICARE: HABBOUSI ENTERPRISES, INC.

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	OT9223	FL

General Provider Information

NPI Number	:	1861720922
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HABBOUSI ENTERPRISES, INC.

Provider Business Mailing Address
First Line	:	3502 MOLONA DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-5828
Country	:	US
Telephone Number	:	407-488-5385
Fax Number	:

Provider Business Practice Location Address
First Line	:	3502 MOLONA DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32837-5828
Country	:	US
Telephone Number	:	407-488-5385
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. MARGARET JALLALI
Credential	:	OTR/L
Telephone Number	:	407-488-5385

Provider Enumeration Date	:	12/01/2009
Last Update Date	:	12/01/2009

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Directions to “HABBOUSI ENTERPRISES, INC. ” Practice Location

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