# 360 PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992182752
- **Authorized official:** LAWRENCE KIM (OWNER)
- **Authorized official phone:** (201) 783-2332

## Contact information

- **Practice address:** 53 HENRY ST, ELMWOOD PARK, NJ 07407-2409
- **Practice address phone:** (201) 783-2332
- **Practice address fax:** (201) 549-8544
- **Mailing address:** 53 HENRY ST, ELMWOOD PARK, NJ 07407-2409
- **Mailing address phone:** (201) 783-2332
- **Mailing address fax:** (201) 549-8544

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 40QA01510100 | NJ | Yes |

## Other

- **Enumeration date:** 04/30/2015
- **Last updated:** 04/30/2015