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NPI Code Detail

MEDICARE: MILDRED V HILLMAN D.P.T.

MEDICARE:   MILDRED V HILLMAN  D.P.T.
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
1225100000XPhysical TherapistPT29605CA

General Provider Information

NPI Number : 1699891168
Entity Type Code : Individual
Provider Name (Legal Business Name) : MILDRED V HILLMAN D.P.T.
Provider Business Mailing Address
First Line : 393 E WALNUT ST
Second Line : PHR, 3RD FLOOR
City : PASADENA
State : CA
Zip : 91188-0001
Country : US
Telephone Number : 877-608-0044
Fax Number : 877-514-0903
Provider Business Practice Location Address
First Line : 3900 E PACIFIC COAST HWY
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-2013
Country : US
Telephone Number : 562-986-2375
Fax Number : 562-986-2322
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 12/22/2021

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