Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 38108 | CA |
NPI | 1003195579 |
---|---|
Provider Name | Leena Uranwala |
First Address | Los Angeles, CA 90045-5631 |
Second Address | Woodland Hills, CA 91364-2733 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2011 |
Last Update Date | 11/12/2019 |