# HOLSMAN PHYSICAL THERAPY & REHAB OF IND LLC

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

## Provider details

- **NPI number:** 1942822986
- **Authorized official:** DR. RICHARD HOLSMAN PT, DPT, GCS (PRESIDENT)
- **Authorized official phone:** (973) 393-5545

## Contact information

- **Practice address:** 710 MILL ST UNIT H3, BELLEVILLE, NJ 07109-5306
- **Practice address phone:** (855) 465-7626
- **Practice address fax:** (949) 655-8518
- **Mailing address:** 710 MILL ST UNIT H3, BELLEVILLE, NJ 07109-5306
- **Mailing address phone:** (855) 465-7626
- **Mailing address fax:** (949) 655-8518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 05/13/2020
- **Last updated:** 07/17/2020