Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 22723 | MA |
NPI | 1043752876 |
---|---|
Provider Name | Patrick Hillman |
First Address | Abington, MA 02351-5008 |
Second Address | Bellingham, MA 02019-1590 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2016 |
Last Update Date | 10/11/2016 |