Provider Demographics
NPI:1619185931
Name:ALEEM, NADIYA MARIE (MS OTR)
Entity Type:Individual
Prefix:
First Name:NADIYA
Middle Name:MARIE
Last Name:ALEEM
Suffix:
Gender:F
Credentials:MS OTR
Other - Prefix:
Other - First Name:NADIYA
Other - Middle Name:ALEEM
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTR
Mailing Address - Street 1:1066 GLENDORA AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94602-1417
Mailing Address - Country:US
Mailing Address - Phone:510-336-1866
Mailing Address - Fax:
Practice Address - Street 1:5000 HOPYARD RD STE 220
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-3314
Practice Address - Country:US
Practice Address - Phone:800-493-2988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6169225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist