Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | ||
Y | 225100000X | Physical Therapist | 05013281A | IN |
N | 2251G0304X | Physical Therapist - Geriatrics | 070016405 | IL |
NPI | 1194970046 |
---|---|
Provider Name | Dr. Anthony Joseph Hillebrand |
First Address | New Palestine, IN 46163-8641 |
Second Address | Whiteland, IN 46184-1545 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2008 |
Last Update Date | 18/06/2021 |