Provider Demographics
NPI:1851098669
Name:AYOUBI, SALEHA SANA (OTR/L)
Entity Type:Individual
Prefix:
First Name:SALEHA
Middle Name:SANA
Last Name:AYOUBI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:SALEHA
Other - Middle Name:SANA
Other - Last Name:AYOUBI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTD
Mailing Address - Street 1:12103 CITRUS LEAF DR
Mailing Address - Street 2:
Mailing Address - City:GIBSONTON
Mailing Address - State:FL
Mailing Address - Zip Code:33534-5601
Mailing Address - Country:US
Mailing Address - Phone:813-690-7087
Mailing Address - Fax:
Practice Address - Street 1:12103 CITRUS LEAF DR
Practice Address - Street 2:
Practice Address - City:GIBSONTON
Practice Address - State:FL
Practice Address - Zip Code:33534-5601
Practice Address - Country:US
Practice Address - Phone:813-690-7087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL23492225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty