Doctor Name: | VICTORIA P KELLAN |
NPI Number: | 1013973445 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 40QA01195500 |
Business Practice Address: | 101 Main St Suite 2 Sparta, NJ - 078711930 |
Business Phone Number: | 9737291222 |
Business Fax Number: | 9737291220 |
Mailing Address: | 35 Mount Pleasant Rd, SPARTA |
State: | NJ |
Postal Code: | 078713844 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/25/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01195500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |