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NPI Code Detail

MEDICARE: HILDA LOOD

MEDICARE: HILDA LOOD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251G0304XGeriatric Physical Therapist6683AZ

General Provider Information

NPI Number : 1093091118
Entity Type Code : Individual
Provider Name (Legal Business Name) : HILDA LOOD
Provider Business Mailing Address
First Line : 5120 E HAMPTON AVE APT 1150
Second Line :
City : MESA
State : AZ
Zip : 85206-6600
Country : US
Telephone Number : 480-406-9506
Fax Number :
Provider Business Practice Location Address
First Line : 5358 E BASELINE RD
Second Line :
City : MESA
State : AZ
Zip : 85206-4716
Country : US
Telephone Number : 480-699-9624
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2011
Last Update Date : 11/02/2011

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Directions to “ HILDA LOOD ” Practice Location

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