Organization
CORE CARE PHYSICAL THERAPY AND ACUPUNCTURE,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JIWON PARK PHYSICAL THERAPIST (MANAGER)
(201) 673-4154
Entity
Organization
Contact information
Practice address
1 PERLMAN DR, SUITE #101, SPRING VALLEY, NY 10977-5281
(845) 517-3330
(845) 517-3331
Mailing address
1 PERLMAN DR, SUITE #101, SPRING VALLEY, NY 10977-5281
(845) 517-3330
(845) 517-3331
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002753-1
ACUPUNCTURE LICENSE
NY
01
—
021333-1
PHYSICAL THERAPY LICENSE
NY
Enumeration date
03/16/2007
Last updated
09/20/2016
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