Provider Demographics
NPI:1477332013
Name:BURBA, CHRISTOPHER P (OTR/L)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:P
Last Name:BURBA
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:CHRISTOPHER
Other - Middle Name:P
Other - Last Name:BABBITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:703 W MOUNT AIRY AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-3323
Mailing Address - Country:US
Mailing Address - Phone:267-388-1477
Mailing Address - Fax:
Practice Address - Street 1:703 W MOUNT AIRY AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119-3323
Practice Address - Country:US
Practice Address - Phone:267-388-1477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC015472225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist