ALI AL-FARES

BRIDGEPORT, WV
NPI1275886863
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WV  1557)
Enumeration Date2012-10-19
Last Update Date2012-10-19
Business Address
-- ALI AL-FARES OTR/L
415 BENEDUM DR
BRIDGEPORT, WV 26330-1503
Phone number: 304-842-9887
Mailing Address
-- ALI AL-FARES OTR/L
41 CRESTVIEW TER
BRIDGEPORT, WV 26330-1010
Phone number:
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