Provider Demographics
NPI:1417926817
Name:EL-KERDI, ALI IBRAHIM (PHD, PT, ATC)
Entity Type:Individual
Prefix:DR
First Name:ALI
Middle Name:IBRAHIM
Last Name:EL-KERDI
Suffix:
Gender:M
Credentials:PHD, PT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 DIAMOND ROCK HILL RD
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-9529
Mailing Address - Country:US
Mailing Address - Phone:410-430-4560
Mailing Address - Fax:
Practice Address - Street 1:2050 DIAMOND ROCK HILL RD
Practice Address - Street 2:
Practice Address - City:MALVERN
Practice Address - State:PA
Practice Address - Zip Code:19355-9529
Practice Address - Country:US
Practice Address - Phone:410-430-4560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-16
Last Update Date:2021-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA017823225100000X
NJ40QA01256400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist