Individual provider · Type 1 NPI
Jenna Rae Urbaniak I, PT, DPT
Pediatric Physical Therapist · Chicago, IL
Practice location
1921 W Irving Park Rd
Chicago, IL 60613-2407
Fax (888) 733-1772
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 070023822 (IL) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1114407285
Jenna Rae Urbaniak I, PT, DPT's National Provider Identifier is 1114407285, issued on Aug 18, 2018. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Chicago, IL. The record was last updated on Aug 18, 2018.