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1104390061
RICHARD MICHAEL PARKE
ENGLEWOOD, NJ
NPI
1104390061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NJ 40QB00053400)
Enumeration Date
2019-01-14
Last Update Date
2019-01-14
Business Address
RICHARD MICHAEL PARKE PTA
155 W HUDSON AVE
ENGLEWOOD, NJ 07631-1609
Phone number: 201-871-8882
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Mailing Address
RICHARD MICHAEL PARKE PTA
798 IRON LATCH RD
FRANKLIN LAKES, NJ 07417-1434
Phone number:
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