Provider Demographics
NPI:1043389059
Name:CURLEY, MARY ELLEN (PT)
Entity Type:Individual
Prefix:
First Name:MARY ELLEN
Middle Name:
Last Name:CURLEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 WEST TOLEDO AVE.
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD CREST
Mailing Address - State:NJ
Mailing Address - Zip Code:08260-1126
Mailing Address - Country:US
Mailing Address - Phone:609-522-6248
Mailing Address - Fax:
Practice Address - Street 1:4 MOORE RD
Practice Address - Street 2:DN601
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-1654
Practice Address - Country:US
Practice Address - Phone:609-465-1198
Practice Address - Fax:609-463-6783
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00461700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist