Provider Demographics
NPI:1831478304
Name:ALI, BINISH
Entity Type:Individual
Prefix:
First Name:BINISH
Middle Name:
Last Name:ALI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3165 HOLIDAY SPRINGS BLVD APT 24
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-5461
Mailing Address - Country:US
Mailing Address - Phone:954-907-1052
Mailing Address - Fax:
Practice Address - Street 1:3165 HOLIDAY SPRINGS BLVD APT 24
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5461
Practice Address - Country:US
Practice Address - Phone:954-907-1052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-15
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3336225X00000X
DCOT010000710225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist