Organization
HOLSMAN CHILDREN'S THERAPY CENTER LLC
Active
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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