Nathanael Park, PTA
NPI #1427813617 in Lyndhurst, New Jersey
Provider Information
- NPI Number
- 1427813617
- Entity Type
- Individual
- Name
- Nathanael Park, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Feb 16, 2024
- Last Updated
- Feb 16, 2024
Practice Location
- Address
- 749 MARIN AVE UNIT 1
- City
- Lyndhurst
- State
- New Jersey
- ZIP Code
- 07071-2521
- Phone
- (201) 916-1681
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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