Healthcare Provider Details

I. General information

NPI: 1326957358
Provider Name (Legal Business Name): RONALD HOLBROOK DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 PLEASANT ST
CONCORD NH
03301-2505
US

IV. Provider business mailing address

408 HIGHLAND DR
HENNIKER NH
03242-4154
US

V. Phone/Fax

Practice location:
  • Phone: 603-225-6644
  • Fax:
Mailing address:
  • Phone: 802-917-1142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3614
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: