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Contact Information

EDIT PUNK, PTA
540 ROUTE 10 W
RANDOLPH, NJ07869-2026
 Phone: 973-366-6615
 Fax: 973-366-9427
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for EDIT PUNK · (Female)

NPI Number 1679070056
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 04/11/2018
Last updated 04/11/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 40QB00343600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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