Individual provider · Type 1 NPI

Edit Punk, PTA

Physical Therapy Assistant · Randolph, NJ

NPI number 1679070056 Active

Practice location

540 Route 10 W
Randolph, NJ 07869-2026

Fax (973) 366-9427

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X40QB00343600 (NJ)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1679070056

Edit Punk, PTA's National Provider Identifier is 1679070056, issued on Apr 11, 2018. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Randolph, NJ. The record was last updated on Apr 11, 2018.