Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 46TR00025000 | NJ |
N | 2251E1200X | Ergonomics | 46TR00025000 | NJ |
N | 225XE1200X | Ergonomics | 46TR00025000 | NJ |
N | 225XH1200X | Occupational Therapist - Hand | 46TR00025000 | NJ |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 46TR00025000 | NJ |
NPI | 1376143909 |
---|---|
Provider Name | Dr. Christopher John Hildeman |
First Address | Belle Mead, NJ 08502-4406 |
Second Address | Somerville, NJ 08876-2519 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2020 |
Last Update Date | 01/11/2020 |