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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