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
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