Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist |
NPI | 1336198050 |
---|---|
Provider Name | Mr. Douglas Allen Hilliard |
First Address | Butler, PA 16002-9027 |
Second Address | Saxonburg, PA 16056 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2006 |
Last Update Date | 08/07/2007 |