Individual
ALYSSA ROSE KELLISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, OCS
Contact information
Practice address
68 RIVER RD, SUMMIT, NJ 07901-1450
(973) 604-7309
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(631) 359-5859
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NJ
Other
Enumeration date
12/20/2022
Last updated
10/14/2025
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