Individual
HANADI ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7644 FAIRFIELD ST, PHILADELPHIA, PA 19152-3942
(267) 970-7688
Mailing address
7644 FAIRFIELD ST, PHILADELPHIA, PA 19152-3942
(267) 970-7688
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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