Provider Demographics
NPI:1780375311
Name:CURSI, LAURA KRISTIN (MOT OTR/L)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:KRISTIN
Last Name:CURSI
Suffix:
Gender:F
Credentials:MOT OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:173 SMOKE RISE RD
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-3711
Mailing Address - Country:US
Mailing Address - Phone:908-635-7239
Mailing Address - Fax:
Practice Address - Street 1:67A MOUNTAIN BLVD EXT STE 1
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059-5626
Practice Address - Country:US
Practice Address - Phone:908-725-2366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-16
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR01121000225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist