Yongtack Park
Physical Therapist in Fort Lee, NJ. Individual provider (NPI-1).
NPI number1144576331
StatusActive
Last updated in NPPESNov 8, 2022
Details
- NPI
- 1144576331
- Entity type
- Individual (NPI-1)
- Name
- Yongtack Park
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 25, 2012
- Certification date
- Nov 8, 2022
- Last updated
- Nov 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 017697 | NY | Yes |
Practice location
800 Palisade Avenue#308
Fort Lee, NJ 07024
Phone 347-334-6860 · Fax 347-602-8662
Mailing address
800 Palisade Avenue#308
Fort Lee, NJ 07024
Phone 347-334-6860 · Fax 347-602-8662
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All 66 Physical Therapist providers in Fort Lee · All 1,054 providers in Fort Lee
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