# INNOVATIVE PHYSICAL THERAPY AND WELLNESS OF NJ LLC

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

## Provider details

- **NPI number:** 1417827908
- **Authorized official:** WILLIA HOLLAND DPT (OWNER)
- **Authorized official phone:** (302) 275-8670

## Contact information

- **Practice address:** 1006 MANTUA PIKE, WOODBURY HEIGHTS, NJ 08097-1221
- **Practice address phone:** (443) 512-8337
- **Practice address fax:** (443) 327-5282
- **Mailing address:** 111 TOWN SQUARE PLACE, STE 1238 \#808828, JERSEY CITY, NJ 07310-1810
- **Mailing address phone:** (443) 512-8337
- **Mailing address fax:** (443) 327-8252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/10/2025
- **Last updated:** 11/10/2025