Provider Demographics
NPI:1447057401
Name:ALI, ESTEFANIA ANNETTE
Entity type:Individual
Prefix:
First Name:ESTEFANIA
Middle Name:ANNETTE
Last Name:ALI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8700 RIO VISTA DR
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:FL
Mailing Address - Zip Code:32566-2183
Mailing Address - Country:US
Mailing Address - Phone:850-687-4776
Mailing Address - Fax:
Practice Address - Street 1:8700 RIO VISTA DR
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:FL
Practice Address - Zip Code:32566-2183
Practice Address - Country:US
Practice Address - Phone:850-687-4776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist