Organization
PAL PARK PHYSICAL THERAPY PC
Active
Organization
PAL PARK PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HYEO YOUNG PARK RPT (PRESIDENT)
(201) 313-1122
Entity
Organization
Contact information
Practice address
118 BROAD AVE # 9, PALISADES PARK, NJ 07650-2717
(201) 313-1122
(201) 941-1157
Mailing address
118 BROAD AVE # 9, PALISADES PARK, NJ 07650-2717
(201) 313-1122
(201) 941-1157
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA00899500
LINCENSE
NJ
Enumeration date
04/12/2022
Last updated
04/12/2022
Update your record
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