GS Spontaneous Healing

Organization Active NPI Physical Therapist · Palisades Park, NJ

NPI 1427361047 · NPPES record last updated Jul 24, 2010

Key facts

NPI
1427361047
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
License
40QA01157100 (NJ)
Legal business name
GS SPONTANEOUS HEALING
Practice address
123 Grand Ave
Palisades Park, NJ 07650-1144
Phone
(201) 585-2245
NPI assigned
Jul 24, 2010
Organization subpart
No

Authorized official

Name
Jaeho Choi
Title
Director
Phone
22215852245

National Provider Directory

Locations

123 Grand Ave
Palisades Park, NJ 07650
Phone (201) 487-7246

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X 40QA01157100 NJ Yes

Addresses

Primary practice location

123 Grand Ave
Palisades Park, NJ 07650-1144

Mailing address

123 Grand Ave
Palisades Park, NJ 07650-1144
Phone (201) 585-2245

Other providers in Palisades Park, NJ

All providers in Palisades Park, NJ · Physical Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.