Alliah M Iqbal
Occupational Therapy Assistant
2390 S Lost Bridge Rd
Decatur
, Illinois 62521-4653
Alliah M Iqbal
Occupational Therapy Assistant
2390 S Lost Bridge Rd
Decatur
, Illinois 62521-4653
(217) 620-0687
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Alliah M Iqbal
- 2390 S Lost Bridge Rd
- Decatur, IL
- Zip : 62521-4653
- Phone : (217) 620-0687
Second Address
- Alliah M Iqbal
- 2390 S Lost Bridge Rd
- Decatur, IL
- Zip : 62521-4653
- Phone : (217) 620-0687
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Is Alliah M Iqbal a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 057.005234 | IL |
National Provider Identifier
| NPI | 1003464413 |
|---|---|
| Provider Name | Alliah M Iqbal |
| First Address | Decatur, IL 62521-4653 |
| Second Address | Decatur, IL 62521-4653 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2019 |
| Last Update Date | 28/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.