Provider Demographics
NPI:1275205858
Name:KURIAN, GEETHA (OTR/L)
Entity Type:Individual
Prefix:
First Name:GEETHA
Middle Name:
Last Name:KURIAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 VALLEY ST APT 1
Mailing Address - Street 2:
Mailing Address - City:SOUTH ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07079-2858
Mailing Address - Country:US
Mailing Address - Phone:973-327-7868
Mailing Address - Fax:
Practice Address - Street 1:349 VALLEY ST APT 1
Practice Address - Street 2:
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-2858
Practice Address - Country:US
Practice Address - Phone:973-327-7868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR01013100225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist