Provider Demographics
NPI:1487791406
Name:MELDRUM, ROXANNE (PT)
Entity type:Individual
Prefix:MRS
First Name:ROXANNE
Middle Name:
Last Name:MELDRUM
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 COMSTOCK DR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03055-3510
Mailing Address - Country:US
Mailing Address - Phone:603-769-1684
Mailing Address - Fax:
Practice Address - Street 1:1 OVERLOOK DR STE 14
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-2875
Practice Address - Country:US
Practice Address - Phone:802-489-7842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-31
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2230225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist