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Organization

PAR 5 PHYSICAL THERAPY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PAUL KOCHOA DPT, PT (OWNER)
(347) 746-9423
Entity
Organization

Contact information

Practice address
1572 SUSSEX TPKE UNIT D, RANDOLPH, NJ 07869-1822
(347) 746-9423
Mailing address
1572 SUSSEX TPKE UNIT D, RANDOLPH, NJ 07869-1822
(347) 746-9423

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
10/01/2019
Last updated
05/09/2023
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