Organization
CHANGE PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOONKI BAIK PT, DPT. (OWNER PHYSICAL THERAPIST)
(201) 894-5453
Entity
Organization
Contact information
Practice address
140 SYLVAN AVE STE 301A, ENGLEWOOD CLIFFS, NJ 07632-2531
(201) 894-5453
Mailing address
140 SYLVAN AVE STE 301A, ENGLEWOOD CLIFFS, NJ 07632-2531
(201) 894-5453
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/08/2019
Last updated
10/08/2019
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