Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT5607 | FL |
N | 225XL0004X | Low Vision | OT5607 | FL |
NPI | 1326354952 |
---|---|
Provider Name | Mr. Ali A Alkhateeb |
First Address | Orlando, FL 32808-7509 |
Second Address | Orlando, FL 32836-8838 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2010 |
Last Update Date | 05/08/2011 |