Individual
KATIE HILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2303 E LAKEVIEW DR, JOHNSON CITY, TN 37601-1833
(602) 400-6693
Mailing address
2303 E LAKEVIEW DR, JOHNSON CITY, TN 37601-1833
(602) 400-6693
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5915
AZ
Other
Enumeration date
08/06/2014
Last updated
02/08/2019
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