# HOLISTIC PHYSICAL THERAPY LLC

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

## Provider details

- **NPI number:** 1609621382
- **Authorized official:** SEAN KIM (DIRECTOR)
- **Authorized official phone:** (201) 338-0262

## Contact information

- **Practice address:** 576 BERGEN BLVD STE D, RIDGEFIELD, NJ 07657-2042
- **Practice address phone:** (551) 451-9360
- **Mailing address:** 576 BERGEN BLVD STE D, RIDGEFIELD, NJ 07657-2042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 04/17/2024
- **Last updated:** 04/18/2024