Organization
360 PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE KIM (OWNER)
(201) 783-2332
Entity
Organization
Contact information
Practice address
53 HENRY ST, ELMWOOD PARK, NJ 07407-2409
(201) 783-2332
(201) 549-8544
Mailing address
53 HENRY ST, ELMWOOD PARK, NJ 07407-2409
(201) 783-2332
(201) 549-8544
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01510100
NJ
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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