NPI 1104390061

Richard Michael Parke, PTA

Practitioner Physical Therapy Assistant Englewood, NJ

Practice location

Address: 155 W Hudson Ave, Englewood, NJ 07631-1609
Phone: (201) 871-8882
Mailing address: 798 Iron Latch Rd, Franklin Lakes, NJ 07417-1434

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 40QB00053400 (NJ)

Other Physical Therapy Assistant providers in New Jersey →

Registry record

NPI: 1104390061
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Jan 2019
Record last updated: 14 Jan 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.