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Individual

MRS. CHARLENE YVONNE HOLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.T.

Contact information

Practice address
450 AMWELL RD, AMWELL MALL, HILLSBOROUGH, NJ 08844-1218
(908) 359-3744
(908) 359-6761
Mailing address
450 AMWELL RD, AMWELL MALL, HILLSBOROUGH, NJ 08844-1218
(908) 359-3744
(908) 359-6761

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00157900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2142498000
AMERIHEALTH PPO
NJ
01
P3071365
OXFORD ID #
NJ
Enumeration date
03/03/2007
Last updated
07/08/2007
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