Provider Demographics
NPI:1164648481
Name:HOLSMAN, RICHARD S (PT, DPT, GCS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:S
Last Name:HOLSMAN
Suffix:
Gender:M
Credentials:PT, DPT, GCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 MILL ST.
Mailing Address - Street 2:UNIT H3
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-5306
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:710 MILL ST
Practice Address - Street 2:UNIT H3
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-5318
Practice Address - Country:US
Practice Address - Phone:973-759-1494
Practice Address - Fax:973-759-0557
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2013-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA009789002251G0304X
NY0195102251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics