Organization
EDGE PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE KIM PT, DPT, OCS (MANAGING DIRECTOR)
(201) 482-9523
Entity
Organization
Contact information
Practice address
16 ARCADIAN WAY, SUITE C6, PARAMUS, NJ 07652-1291
(201) 483-9523
(201) 483-9534
Mailing address
16 ARCADIAN WAY, SUITE C6, PARAMUS, NJ 07652-1291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01510100
NJ
Other
Enumeration date
08/17/2015
Last updated
06/28/2016
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