Healthcare Provider Details

I. General information

NPI: 1548729155
Provider Name (Legal Business Name): AMANDA LOWENTHAL DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2019
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N FIRST ST STE 103
BURBANK CA
91502-1845
US

IV. Provider business mailing address

PO BOX 9602
MISSION HILLS CA
91346-9602
US

V. Phone/Fax

Practice location:
  • Phone: 818-846-7100
  • Fax:
Mailing address:
  • Phone: 213-394-7921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number296278
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: