Individual
MELLISA MARIE HOLLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3200
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08Y011430NH01
ANTHEM INDIV. #
NH
01
—
7819287
CIGNA GROUP #
—
01
—
AA 11345
HARVARD PILGRIM GROUP #
—
Enumeration date
01/29/2007
Last updated
06/25/2015
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