Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT3036 | AR |
NPI | 1053575571 |
---|---|
Provider Name | Evan Richard Hill |
First Address | Rogers, AR 72758-8237 |
Second Address | Rogers, AR 72758-8237 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2008 |
Last Update Date | 14/07/2008 |