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Organization
SPARK PHYSICAL THERAPY & WELLNESS
Active
Organization
SPARK PHYSICAL THERAPY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTHER Y KIM DPT (OWNER)
(201) 230-1334
Entity
Organization
Contact information
Practice address
90 CARLTON LN, HARRINGTON PARK, NJ 07640-1603
(201) 230-1334
Mailing address
90 CARLTON LN, HARRINGTON PARK, NJ 07640-1603
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
02/17/2021
Last updated
03/17/2022
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