Organization
ELEVATE PT LLC
Active
Other names
Elevate Performance Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JUNG CHUL PARK PT, DPT (PHYSICAL THERAPIST/OWNER)
(201) 757-7234
Entity
Organization
Contact information
Practice address
2447 ROSSETT ST FL 1, FORT LEE, NJ 07024-3919
(201) 757-7234
Mailing address
2447 ROSSETT ST FL 1, FORT LEE, NJ 07024-3919
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/14/2019
Last updated
11/05/2019
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