Kelly Elizabeth D'Urso, PTDPTNCS

Individual provider Active NPI Physical Therapist · West Orange, NJ

NPI 1801911458 · NPPES record last updated Oct 26, 2010

Key facts

NPI
1801911458
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
QA08876 (NJ)
Practice address
1199 Pleasant Valley Way
West Orange, NJ 07052-1424
Phone
(973) 414-4755
NPI assigned
Mar 20, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
QA08876NJMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X QA08876 NJ Yes

Addresses

Primary practice location

1199 Pleasant Valley Way
West Orange, NJ 07052-1424

Mailing address

12 Strawberry Hill Rd
Branchburg, NJ 08876-7407
Phone (973) 414-4755

Other providers in West Orange, NJ

All providers in West Orange, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.