Provider Demographics
NPI:1275835548
Name:HOLDEN, MELANIE C (PT)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:C
Last Name:HOLDEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 POPLAR HILL RD
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03076-2908
Mailing Address - Country:US
Mailing Address - Phone:603-233-3484
Mailing Address - Fax:603-894-0657
Practice Address - Street 1:202 MAIN ST
Practice Address - Street 2:SUITE G2
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-3170
Practice Address - Country:US
Practice Address - Phone:603-233-3484
Practice Address - Fax:603-894-0657
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-18
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1579225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist