Provider Demographics
NPI:1700770815
Name:SAKALLAH, ABDULRAHMAN WALID (PT, DPT)
Entity type:Individual
Prefix:
First Name:ABDULRAHMAN
Middle Name:WALID
Last Name:SAKALLAH
Suffix:
Gender:M
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 1:2715 GOLDEN CREEK LN APT 805
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76006-3597
Mailing Address - Country:US
Mailing Address - Phone:469-226-7805
Mailing Address - Fax:
Practice Address - Street 1:2715 GOLDEN CREEK LN APT 805
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76006-3597
Practice Address - Country:US
Practice Address - Phone:469-226-7805
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1406851225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist