| Organization Name: | E.A.S. PHYSICAL THERAPY PC |
| NPI Number: | 1700011814 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HYEO YOUNG PARK (OWNER) |
| Mailing Address: | 21 Grand Ave South Building #504 Palisades Park |
| State: | NJ US |
| Postal Code: | 076501076 |
| Phone Number: | 2019418990 |
| Fax Number: | 2019410991 |
| NPI Enumeration Date: | 05/18/2009 |
| NPI Last Update Date: | 10/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA00899500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |