Healthcare Provider Details

I. General information

NPI: 1073296406
Provider Name (Legal Business Name): AMEL FAHMY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2023
Last Update Date: 08/11/2023
Certification Date: 08/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 N ERIE HWY STE A
HAMILTON OH
45011-4264
US

IV. Provider business mailing address

3868 RIVERDOWNS CT
FAIRFIELD TOWNSHIP OH
45011-8021
US

V. Phone/Fax

Practice location:
  • Phone: 513-887-3710
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number12451
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: