Provider Demographics
NPI:1336327774
Name:KURIAN, NISHA A (DPT)
Entity Type:Individual
Prefix:
First Name:NISHA
Middle Name:A
Last Name:KURIAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 STATE ST
Mailing Address - Street 2:203
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-5500
Mailing Address - Country:US
Mailing Address - Phone:201-968-1200
Mailing Address - Fax:201-968-1400
Practice Address - Street 1:214 STATE ST
Practice Address - Street 2:203
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-5500
Practice Address - Country:US
Practice Address - Phone:201-968-1200
Practice Address - Fax:201-968-1400
Is Sole Proprietor?:No
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01070000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist