Provider Demographics
NPI:1386295806
Name:URBINA, CHRISTIAN (OTR/L)
Entity type:Individual
Prefix:MR
First Name:CHRISTIAN
Middle Name:
Last Name:URBINA
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 LINCOLN PL
Mailing Address - Street 2:
Mailing Address - City:MOONACHIE
Mailing Address - State:NJ
Mailing Address - Zip Code:07074-1206
Mailing Address - Country:US
Mailing Address - Phone:201-315-8575
Mailing Address - Fax:
Practice Address - Street 1:255 E 138TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10451-6425
Practice Address - Country:US
Practice Address - Phone:718-559-0909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-25
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR01093200225X00000X
NY027372225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist