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Individual

RICHARD MICHAEL PARKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
155 W HUDSON AVE, ENGLEWOOD, NJ 07631-1609
(201) 871-8882
Mailing address
798 IRON LATCH RD, FRANKLIN LAKES, NJ 07417-1434

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00053400
NJ

Other

Enumeration date
01/14/2019
Last updated
01/14/2019
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