Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 40QA01044700 | NJ |
NPI | 1023230471 |
---|---|
Provider Name | Ms. Jennifer L Holsinger |
First Address | Sicklerville, NJ 08081-1758 |
Second Address | Sewell, NJ 08080 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 08/07/2007 |