Randal Donald Holak

NPI #1104342906 in Whiting, New Jersey

Provider Information

NPI Number: 1104342906
Entity Type: Individual
Name: Randal Donald Holak
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 14, 2017
Last Updated: Aug 14, 2017

Practice Location

Address: 401 LACEY RD
City: Whiting
State: New Jersey
ZIP Code: 08759-1386
Phone: (732) 350-2355

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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