Provider Demographics
NPI:1346418258
Name:OVERHOLSER, RITA
Entity Type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:OVERHOLSER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 WOODLAND NR
Mailing Address - Street 2:APT1
Mailing Address - City:WEARE
Mailing Address - State:NH
Mailing Address - Zip Code:03281
Mailing Address - Country:US
Mailing Address - Phone:603-568-4975
Mailing Address - Fax:
Practice Address - Street 1:17 WOODLAND DR APT 1
Practice Address - Street 2:
Practice Address - City:WEARE
Practice Address - State:NH
Practice Address - Zip Code:03281-4237
Practice Address - Country:US
Practice Address - Phone:603-568-4975
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program