MEDICARE: MARGARET E. JALLALI OT

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	OT 9223	FL

General Provider Information

NPI Number	:	1962414094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET E. JALLALI OT

Provider Business Mailing Address
First Line	:	3601 HIGH PINE DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-6010
Country	:	US
Telephone Number	:	954-832-6974
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 HIGH PINE DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33065-6010
Country	:	US
Telephone Number	:	954-832-6974
Fax Number	:

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

Provider Enumeration Date	:	08/13/2006
Last Update Date	:	11/25/2015

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