Individual
NATASHA GUNARATNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
24422 AVENIDA DE LA CARLOTA, SUITE 190, LAGUNA HILLS, CA 92653-3636
(949) 340-6927
(949) 215-7246
Mailing address
24422 AVENIDA DE LA CARLOTA, SUITE 190, LAGUNA HILLS, CA 92653-3636
(949) 340-6927
(949) 215-7246
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 292407
CA
2251N0400X
Neurology Physical Therapist
Primary
PT 292407
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
292704
PT LICENSE
CA
Enumeration date
11/29/2016
Last updated
09/30/2019
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