Provider Demographics
NPI:1649408022
Name:ADLER, KERITH (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:KERITH
Middle Name:
Last Name:ADLER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1384 CHRISTMAS LN NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30329-3549
Mailing Address - Country:US
Mailing Address - Phone:732-718-4761
Mailing Address - Fax:
Practice Address - Street 1:1384 CHRISTMAS LN NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30329-3549
Practice Address - Country:US
Practice Address - Phone:732-718-4761
Practice Address - Fax:800-655-3780
Is Sole Proprietor?:No
Enumeration Date:2009-06-24
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJQA00851900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist