Individual
MRS. BEVERLY GENE HOLMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
536 RIDGE RD, CEDAR GROVE, NJ 07009-1611
(973) 239-9300
Mailing address
376 HAWTHORNE ST, ORANGE, NJ 07050-2831
(973) 677-3007
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4QB00048100
NJ
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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