Holden, Theresa A

Holden, Theresa A is an individual health care provider with primary practice located at 44 Medical Drive , Salt Lake UT 84113. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Holden, Theresa A can be contacted via phone (801) 584-8521.

Contact Information

Primary practice address
44 Medical Drive Salt Lake UT 84113
Fax:
Website:

Health care specialties

Profile Details

NPI number 1669565131
LBN Legal business name Holden, Theresa A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669565131 NPPES
Utah MEDICAID 999000021002
Utah Other 1699878942

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