Doctor Name: | OLEG URBAN |
NPI Number: | 1548261118 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 2145 |
Business Practice Address: | 1018 W Main St Lebanon, TN - 370873302 |
Business Phone Number: | 6154665200 |
Business Fax Number: | 6154665206 |
Mailing Address: | 521 West Main Street, LEBANON |
State: | TN |
Postal Code: | 37087 |
Phone Number: | 6154449400 |
Fax Number: | 6154449406 |
NPI Enumeration Date: | 08/04/2005 |
NPI Last Update Date: | 05/26/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2145 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
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 |