Basic Information
| Provider Information | |||||||||
| NPI: | 1316526783 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALGHULBI | ||||||||
| FirstName: | ABBY | ||||||||
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| Credential: | MSOT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 202 PINE ST | ||||||||
| Address2: | |||||||||
| City: | CHESANING | ||||||||
| State: | MI | ||||||||
| PostalCode: | 486161252 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9893232090 | ||||||||
| FaxNumber: | 9893233991 | ||||||||
| Practice Location | |||||||||
| Address1: | 2535 22ND ST | ||||||||
| Address2: | |||||||||
| City: | BAY CITY | ||||||||
| State: | MI | ||||||||
| PostalCode: | 487087612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9898919800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2021 | ||||||||
| LastUpdateDate: | 04/08/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 04/08/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106S00000X | N | 225X00000X | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.