NPI 1689202483

Mayar Sami Ali, COTA

Practitioner Occupational Therapy Assistant Plymouth, MN

Practice location

Address: 3401 E Medicine Lake Blvd, Plymouth, MN 55441-2307
Phone: (612) 200-7352
Mailing address: 6115 Manchester Ave NE, Otsego, MN 55301-4696

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 202001 (MN)

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Registry record

NPI: 1689202483
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Mar 2020
Record last updated: 29 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.