Healthcare Provider Details

I. General information

NPI: 1558630129
Provider Name (Legal Business Name): ROSEMARY KELLY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2011
Last Update Date: 12/27/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 RIVER AVE SUITE 245
LAKEWOOD NJ
08701-4738
US

IV. Provider business mailing address

30 AYRMONT LN
ABERDEEN NJ
07747-1223
US

V. Phone/Fax

Practice location:
  • Phone: 732-367-1888
  • Fax:
Mailing address:
  • Phone: 908-601-1450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code222Q00000X
TaxonomyDevelopmental Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: