| Doctor Name: | RENEE KELLY |
| NPI Number: | 1396918843 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS PT |
| License Number: | 40QA00890800 |
| Business Practice Address: | 14 Bridgewaters Dr Suite A Oceanport, NJ - 077571162 |
| Business Phone Number: | 7325426600 |
| Business Fax Number: | 7325426606 |
| Mailing Address: | 60 Little Silver Point Rd, LITTLE SILVER |
| State: | NJ |
| Postal Code: | 077391531 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 04/04/2008 |
| NPI Last Update Date: | 04/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251P0200X |
| License Number: | 40QA00890800 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |