MEDICARE: DR. MELISSA KERR DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	40QA01386500	NJ

General Provider Information

NPI Number	:	1639509813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA KERR DPT

Provider Business Mailing Address
First Line	:	405 HURFFVILLE CROSSKEYS RD STE 102
Second Line	:
City	:	SEWELL
State	:	NJ
Zip	:	08080-9340
Country	:	US
Telephone Number	:	856-256-7871
Fax Number	:	856-582-3415

Provider Business Practice Location Address
First Line	:	405 HURFFVILLE CROSSKEYS RD STE 102
Second Line	:
City	:	SEWELL
State	:	NJ
Zip	:	08080-9340
Country	:	US
Telephone Number	:	856-256-7871
Fax Number	:	856-582-3415

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2013
Last Update Date	:	11/25/2013

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Directions to “ DR. MELISSA KERR DPT” Practice Location

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