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Individual

DAVID WATSON HILLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1132 E POLSTON AVE, POST FALLS, ID 83854-6045
(208) 777-7800
(208) 777-9209
Mailing address
1132 E POLSTON AVE, POST FALLS, ID 83854-6045
(208) 777-7800
(208) 777-9209

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
PT912
ID
225100000X
Physical Therapist
Primary
PT912
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010024489
REGENCE BLUE SHIELD
ID
01
101976
WASHINGTON L&I
WA
05
1134149941
ID
01
650011684
RAILROAD MEDICARE
ID
01
GROUP HEALTH
7624
ID
01
T2516
BLUE CROSS
ID
Enumeration date
10/17/2006
Last updated
07/18/2018
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