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General NPI Number Information
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NPI Number | 1114347895
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Entity Type | Organization
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Legal Business Name | EJ PHYSICAL THERAPY,P.C.
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 01/30/2025
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Provider Practice Location Address
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Address Line | 463 LIVINGSTON ST STE 201
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City | NORWOOD
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State | NJ
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Zip | 07648-1344
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Country | US
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Telephone | 201-602-7745
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Fax | 201-221-7744
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Provider Business Mailing Address
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Address Line | 4 VILLA CT
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City | NORWOOD
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State | NJ
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Zip | 07648-1734
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Country | US
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Telephone | 201-602-7745
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EUN JIN OH
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Credential | PHYSICAL THERAPIST
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Telephone | 551-202-9046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA01537600
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License Number State | NJ
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