MEDICARE: AMAL ABDELFATTAH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OC020705	PA

General Provider Information

NPI Number	:	1720939622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMAL ABDELFATTAH

Provider Business Mailing Address
First Line	:	5617 SANSOM ST UNIT 2
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19139-3244
Country	:	US
Telephone Number	:	267-577-8033
Fax Number	:

Provider Business Practice Location Address
First Line	:	1608 WALNUT ST FL 2
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103-5457
Country	:	US
Telephone Number	:	215-545-8717
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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Directions to “ AMAL ABDELFATTAH ” Practice Location

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