Provider Demographics
NPI:1417609264
Name:ABDALLAH, SARAH ALI (PT, DPT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:ALI
Last Name:ABDALLAH
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26289 SHEAHAN DR
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-4117
Mailing Address - Country:US
Mailing Address - Phone:313-516-2475
Mailing Address - Fax:
Practice Address - Street 1:31745 8 MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1360
Practice Address - Country:US
Practice Address - Phone:248-733-5052
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-24
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN12746225100000X
PAPT0316882251X0800X
MI5501301887225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic