Organization
E.A.S. PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HYEO YOUNG PARK RPT (OWNER)
(201) 313-4840
Entity
Organization
Contact information
Practice address
21 GRAND AVE, SOUTH BUILDING #504, PALISADES PARK, NJ 07650-1076
(201) 941-8990
(201) 941-0991
Mailing address
21 GRAND AVE, SOUTH BUILDING #504, PALISADES PARK, NJ 07650
(201) 941-8990
(201) 941-0991
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00899500
NJ
Other
Enumeration date
05/18/2009
Last updated
10/29/2009
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