Individual
BRIAN KERR IRELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
479 UNION AVE, BRIDGEWATER, NJ 08807-3143
(908) 203-5200
(908) 203-5214
Mailing address
479 UNION AVE, BRIDGEWATER, NJ 08807-3143
(908) 203-5200
(908) 203-5214
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01088500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100250
MEDICARE ID-TYPE UNSPECIFIED
NJ
Enumeration date
06/10/2006
Last updated
06/27/2014
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