Healthcare Provider Details

I. General information

NPI: 1568391993
Provider Name (Legal Business Name): CHANEE LANETTE URIBE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7250 GATEWAY AVE
HAMILTON OH
45011-3564
US

IV. Provider business mailing address

3252 CHEYENNE CT
FAIRFIELD TOWNSHIP OH
45011-8226
US

V. Phone/Fax

Practice location:
  • Phone: 513-912-6834
  • Fax:
Mailing address:
  • Phone: 513-464-7652
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number8416
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: