Healthcare Provider Details

I. General information

NPI: 1013103142
Provider Name (Legal Business Name): KESSLER INSTITUTE FOR REHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2007
Last Update Date: 09/21/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MARKET ST
SADDLE BROOK NJ
07663-5309
US

IV. Provider business mailing address

300 MARKET ST
SADDLE BROOK NJ
07663-5309
US

V. Phone/Fax

Practice location:
  • Phone: 201-368-6117
  • Fax: 201-368-6075
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number46TR00085300
License Number StateNJ

VIII. Authorized Official

Name: MRS. KRISTEN LEIGH KARDELL
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 201-368-6117