Individual
JASON URBANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
807 GOUCHER ST, JOHNSTOWN, PA 15905-2942
(814) 931-3570
Mailing address
807 GOUCHER ST, JOHNSTOWN, PA 15905-2942
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC008765
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC008765
THERAPY
PA
Enumeration date
06/20/2016
Last updated
06/20/2016
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