Individual
MR. CLARENCE EDWARD HILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1990 HOLTON AVE E, BIG STONE GAP, VA 24219-3350
(276) 523-8611
Mailing address
PO BOX 765, BIG STONE GAP, VA 24219-0765
(276) 523-3914
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001307
VA
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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