Provider Demographics
NPI:1275615742
Name:WURCH, DENA M (DPT)
Entity Type:Individual
Prefix:
First Name:DENA
Middle Name:M
Last Name:WURCH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:DENA
Other - Middle Name:M
Other - Last Name:MCCALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 1014
Mailing Address - Street 2:1180 RARITAN RD
Mailing Address - City:CLARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07066-1014
Mailing Address - Country:US
Mailing Address - Phone:732-855-9751
Mailing Address - Fax:732-855-9755
Practice Address - Street 1:2446 CHURCH RD
Practice Address - Street 2:SUITE 2A
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-8182
Practice Address - Country:US
Practice Address - Phone:732-255-7888
Practice Address - Fax:732-255-6226
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQA01218700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist