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Organization
INNOVATIVE PHYSICAL THERAPY AND WELLNESS OF NJ LLC
Active
Organization
INNOVATIVE PHYSICAL THERAPY AND WELLNESS OF NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIA HOLLAND DPT (OWNER)
(302) 275-8670
Entity
Organization
Contact information
Practice address
1006 MANTUA PIKE, WOODBURY HEIGHTS, NJ 08097-1221
(443) 512-8337
(443) 327-5282
Mailing address
111 TOWN SQUARE PLACE, STE 1238 #808828, JERSEY CITY, NJ 07310-1810
(443) 512-8337
(443) 327-8252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/10/2025
Last updated
11/10/2025
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