| Doctor Name: | MRS. SOUMYA UNNIKRISHNAN |
| NPI Number: | 1073804993 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 5501012812 |
| Business Practice Address: | 4655 Ruffner St Suite 270 San Diego, CA - 921112275 |
| Business Phone Number: | 8007876787 |
| Business Fax Number: | |
| Mailing Address: | 772 Forest Park Blvd, Apt # 304 OXNARD |
| State: | CA |
| Postal Code: | 930365374 |
| Phone Number: | 8184063500 |
| Fax Number: | |
| NPI Enumeration Date: | 04/26/2011 |
| NPI Last Update Date: | 04/26/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 5501012812 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |