Provider Demographics
NPI:1164302733
Name:UNWALA, AYANA
Entity type:Individual
Prefix:
First Name:AYANA
Middle Name:
Last Name:UNWALA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 TASKER ST FL 2
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19148-1019
Mailing Address - Country:US
Mailing Address - Phone:215-271-4100
Mailing Address - Fax:215-271-1785
Practice Address - Street 1:1208 TASKER ST FL 2
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19148-1019
Practice Address - Country:US
Practice Address - Phone:215-271-4100
Practice Address - Fax:215-271-1785
Is Sole Proprietor?:No
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT033496225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist