NPI | 1487113981 |
---|---|
Doing Business As | ELEVATE PERFORMANCE THERAPY |
Entity Type | Organization |
Authorized Contact | JUNG CHUL PARK Physical Therapist/Owner 201-757-7234 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2019-03-14 |
Last Update Date | 2019-11-05 |