Organization
EDGE PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE KIM PT, DPT, OCS (MANAGING DIRECTOR)
(201) 783-2332
Entity
Organization
Contact information
Practice address
407 SETTE DR, PARAMUS, NJ 07652-2940
(201) 783-2332
Mailing address
407 SETTE DR, PARAMUS, NJ 07652-2940
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01510100
NJ
Other
Enumeration date
08/14/2015
Last updated
08/14/2015
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