Healthcare Provider Details

I. General information

NPI: 1598827743
Provider Name (Legal Business Name): JUDITH K HURLEY P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 01/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CAMPUS DR
MORGANVILLE NJ
07751-1282
US

IV. Provider business mailing address

4 LAFAYETTE KY
COLTS NECK NJ
07722-1774
US

V. Phone/Fax

Practice location:
  • Phone: 732-591-9494
  • Fax: 732-591-8850
Mailing address:
  • Phone: 732-294-1986
  • Fax: 732-294-9905

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberQA00813
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: