Tara Lisen Holbrook, PT
Individual provider Active NPI Physical Therapist · Greenfield, NH
NPI 1992011696 · NPPES record last updated Aug 27, 2013
Key facts
- NPI
- 1992011696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 3524 (NH)
- Practice address
- 1 Verney Dr
Greenfield, NH 03047-5000 - Phone
- (603) 547-3311
- Fax
- (603) 547-3232
- NPI assigned
- Aug 19, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3524 | NH | MD | Physical Therapist |
| 3624 | NH | MD | Medical Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3524 | NH | Yes |
Addresses
Primary practice location
1 Verney Dr
Greenfield, NH 03047-5000
Mailing address
1 Verney Dr
Greenfield, NH 03047-5000
Phone (603) 547-3311
Other providers in Greenfield, NH
- Dennis Green
- David J Hajjar
- Deborah Heath-Rogers
- Lesley Hill
- Karen L Hoffman
- Devon Hubert
- Shannon Hurley
- Hygiea Health & Wellness, LLC
- Amanda Jennison
- Hollie Ketterer
All providers in Greenfield, NH · Physical Therapist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.