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Organization

SPORTS OT LLC

Active
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Organization

SPORTS OT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALI ADLAH OTR/L (OWNER)
(631) 774-3055
Entity
Organization

Contact information

Practice address
704 ELLABOND ST, SNEADS FERRY, NC 28460-1412
(631) 774-3055
Mailing address
704 ELLABOND ST, SNEADS FERRY, NC 28460-1412
(631) 774-3055

Taxonomy

Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
225700000X
Massage Therapist
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
05/05/2026
Last updated
05/07/2026
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