Provider Demographics
NPI:1861865586
Name:RALPH-MCCARTHY, HOLLIE M (PT, DPT)
Entity Type:Individual
Prefix:
First Name:HOLLIE
Middle Name:M
Last Name:RALPH-MCCARTHY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 NINA WAY
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5224
Mailing Address - Country:US
Mailing Address - Phone:917-669-4699
Mailing Address - Fax:
Practice Address - Street 1:1 HARDING RD
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-2018
Practice Address - Country:US
Practice Address - Phone:732-889-8199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-03
Last Update Date:2023-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT42686174400000X
NJ40QA02149900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist