Mullamithawala, Fayeza F

Mullamithawala, Fayeza F is an individual health care provider with primary practice located at 1740 Marco Polo Way Suite 3, Burlingame CA 94010-4522. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mullamithawala, Fayeza F can be contacted via phone (650) 552-9355.

Contact Information

Primary practice address
1740 Marco Polo Way Suite 3 Burlingame CA 94010-4522
Phone: (650) 552-9355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT28154 California

Profile Details

NPI number 1043241797
LBN Legal business name Mullamithawala, Fayeza F
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043241797 NPPES
California Other PT0281540 BLUE SHIELD ID NUMBER
California Other PT28154 BLUE SHIELD ID NUMBER

Popular Providers