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Organization
EDGE PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Active
Organization
EDGE PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE KIM PT, DPT, OCS (MANAGING DIRECTOR)
(201) 783-2332
Entity
Organization
Contact information
Practice address
407 SETTE DR, PARAMUS, NJ 07652-2940
(201) 783-2332
Mailing address
407 SETTE DR, PARAMUS, NJ 07652-2940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01510100
NJ
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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