Individual
ANEESA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
602 VONDERBURG DR STE 200, BRANDON, FL 33511-5900
(813) 653-1149
Mailing address
1621 STORINGTON AVE, BRANDON, FL 33511-1837
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
4647
FL
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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