Organization Name: | SANDRA ANN ABDELAHAD |
NPI Number: | 1386048981 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDRA ABDELAHAD (OWNER) |
Mailing Address: | 12 Pine Needle Rd Mendon |
State: | MA US |
Postal Code: | 017561329 |
Phone Number: | 5086345404 |
Fax Number: | 5086345404 |
NPI Enumeration Date: | 10/10/2014 |
NPI Last Update Date: | 10/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |