Provider Demographics
NPI:1063618841
Name:HOLDEN, LISA R (DPT)
Entity type:Individual
Prefix:
First Name:LISA
Middle Name:R
Last Name:HOLDEN
Suffix:
Gender:
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:734 ROSTRAVER RD
Mailing Address - Street 2:
Mailing Address - City:BELLE VERNON
Mailing Address - State:PA
Mailing Address - Zip Code:15012-1943
Mailing Address - Country:US
Mailing Address - Phone:724-929-5866
Mailing Address - Fax:724-929-5867
Practice Address - Street 1:734 ROSTRAVER RD
Practice Address - Street 2:
Practice Address - City:BELLE VERNON
Practice Address - State:PA
Practice Address - Zip Code:15012-1943
Practice Address - Country:US
Practice Address - Phone:724-929-5866
Practice Address - Fax:724-929-5867
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0008623L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist