Provider Demographics
NPI:1598827743
Name:HURLEY, JUDITH K (PT)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:K
Last Name:HURLEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4 LAFAYETTE KY
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-1774
Mailing Address - Country:US
Mailing Address - Phone:732-294-1986
Mailing Address - Fax:732-294-9905
Practice Address - Street 1:100 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-1282
Practice Address - Country:US
Practice Address - Phone:732-591-9494
Practice Address - Fax:732-591-8850
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQA00813225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1598827743OtherNPI NUMBER