MR. Jacob David Urban, PTA, CSCS, FMSC

NPI #1427528637 in Merrick, New York

Provider Information

NPI Number: 1427528637
Entity Type: Individual
Name: MR. Jacob David Urban, PTA, CSCS, FMSC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA, CSCS, FMSC
Enumeration Date: Nov 30, 2018
Last Updated: Nov 30, 2018

Practice Location

Address: 2745 COLONIAL AVE
City: Merrick
State: New York
ZIP Code: 11566-4906
Phone: (718) 801-4618

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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