Doctor Name: | MRS. DESIRAE URBAN |
NPI Number: | 1053553248 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT019808 |
Business Practice Address: | 120 E Lancaster Ave Suite 106 Ardmore, PA - 190033209 |
Business Phone Number: | 4842976491 |
Business Fax Number: | 6108967218 |
Mailing Address: | 120 W Germantown Pike, Suite 100 PLYMOUTH MEETING |
State: | PA |
Postal Code: | 194621420 |
Phone Number: | 6102700370 |
Fax Number: | 6102700374 |
NPI Enumeration Date: | 04/02/2009 |
NPI Last Update Date: | 05/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT019808 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |