Individual
JAMILLA AZIZA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1624 W LOUDON ST, PHILADELPHIA, PA 19141-1510
(267) 990-5305
Mailing address
1624 W LOUDON ST, PHILADELPHIA, PA 19141-1510
(267) 990-5305
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP01675
PA
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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