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Organization
HYBRID PT, LLC
Active
Organization
HYBRID PT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES PARK (OWNER)
(201) 429-3996
Entity
Organization
Contact information
Practice address
962 KINDERKAMACK RD, RIVER EDGE, NJ 07661-2331
(201) 429-3996
(201) 812-9604
Mailing address
962 KINDERKAMACK ROAD, RIVER EDGE, NJ 07661-2331
(201) 429-3996
(201) 812-9604
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01252200
NJ
Other
Enumeration date
03/21/2018
Last updated
02/07/2019
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