Healthcare Provider Details

I. General information

NPI: 1437302767
Provider Name (Legal Business Name): REBECCA LEAH URANOVSKY MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBECCA LEAH NAJER

II. Dates (important events)

Enumeration Date: 10/30/2008
Last Update Date: 11/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8323 SW FWY SUITE 101
HOUSTON TX
77074-1615
US

IV. Provider business mailing address

7535 QUAIL MEADOW DR
HOUSTON TX
77071-2313
US

V. Phone/Fax

Practice location:
  • Phone: 713-772-1400
  • Fax: 713-772-7116
Mailing address:
  • Phone: 713-408-1666
  • Fax: 713-772-7116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1198058
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number029802
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: