# FREEHOLD PHYSICAL THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215223854
- **Authorized official:** LAURA SQUICCIARINI PTMA (PHYSICAL THERAPY)
- **Authorized official phone:** (732) 294-0383

## Contact information

- **Practice address:** 77 SCHANCK RD, SUITE B-11, FREEHOLD, NJ 07728-2964
- **Practice address phone:** (732) 294-0383
- **Mailing address:** 70 TRICENTENNIAL DR, FREEHOLD, NJ 07728-5326
- **Mailing address phone:** (732) 294-0383

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 40QA00460300 | NJ | Yes |

## Other

- **Enumeration date:** 06/22/2011
- **Last updated:** 04/15/2012