Organization
HOLSMAN CHILDREN'S THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD HOLSMAN PT, DPT, GCS (PRESIDENT)
(973) 393-5545
Entity
Organization
Contact information
Practice address
15-01 BROADWAY STE 14C, FAIR LAWN, NJ 07410-6018
(201) 351-1682
(732) 428-5513
Mailing address
710 MILL ST UNIT H3, BELLEVILLE, NJ 07109-5306
(973) 759-1494
(973) 759-0557
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41YS00629500
NJ DIVISION OF CONSUMER AFFAIRS
NJ
Enumeration date
03/14/2019
Last updated
03/14/2019
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