Provider Demographics
NPI:1649666181
Name:LOWENTHAL, RANA (PT, DPT)
Entity type:Individual
Prefix:
First Name:RANA
Middle Name:
Last Name:LOWENTHAL
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 1:99 MARGETTS RD
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-6119
Mailing Address - Country:US
Mailing Address - Phone:917-558-4772
Mailing Address - Fax:
Practice Address - Street 1:99 MARGETTS RD
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-6119
Practice Address - Country:US
Practice Address - Phone:917-558-4772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-11
Last Update Date:2017-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY036592225100000X
MEPT4369225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist