EDIT PUNK, PTA

Physical Therapy Assistant

Active Individual
NPI: 1679070056

Practice Address

540 ROUTE 10 W
Randolph, NJ 07869

Phone: (973) 366-6615

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X Yes 40QB00343600 (NJ)

Frequently Asked Questions

NPI 1679070056 is the National Provider Identifier for EDIT PUNK, PTA, a Physical Therapy Assistant provider located in Randolph, NJ. This NPI was enumerated on April 11, 2018.
EDIT PUNK, PTA practices at 540 ROUTE 10 W, Randolph, NJ 07869.

Quick Facts

NPI
1679070056
Type
Individual
Enumerated
Apr 11, 2018
Last Updated
Apr 11, 2018

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