MEDICARE: MISS MARIA C HILL PHYSICAL THERAPIST

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
1	225100000X	Physical Therapist	1048171	TX

General Provider Information

NPI Number	:	1114050473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MARIA C HILL PHYSICAL THERAPIST

Provider Business Mailing Address
First Line	:	7105 LAWNDALE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023-4248
Country	:	US
Telephone Number	:	713-921-6254
Fax Number	:	713-921-6526

Provider Business Practice Location Address
First Line	:	7105 LAWNDALE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023-4248
Country	:	US
Telephone Number	:	713-921-6254
Fax Number	:	713-921-6526

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	07/08/2007

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