Provider Demographics
NPI:1770399248
Name:ALADE, ISWAT O (OT)
Entity type:Individual
Prefix:
First Name:ISWAT
Middle Name:O
Last Name:ALADE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15565 NORTHLAND DR W STE 505
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-5307
Mailing Address - Country:US
Mailing Address - Phone:248-552-6619
Mailing Address - Fax:
Practice Address - Street 1:15565 NORTHLAND DR W STE 505
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-5307
Practice Address - Country:US
Practice Address - Phone:248-552-6619
Practice Address - Fax:248-552-6656
Is Sole Proprietor?:No
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist