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Individual

JAHZARA ISRA ALI-DEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOTL

Contact information

Practice address
251 W MAIN ST, ALBEMARLE, NC 28001-4816
(704) 983-5437
(704) 983-0144
Mailing address
7209 E WT HARRIS BLVD, #134, CHARLOTTE, NC 28227-1063
(704) 248-1474
(704) 566-1744

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4329
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7301493
NC
Enumeration date
06/20/2006
Last updated
02/05/2015
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