Individual
MR. GARY WADE HILL
Active
Individual
MR. GARY WADE HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2047
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0197288
DEPT LABOR & INDUSTRY
WA
05
—
154774721
—
AR
01
—
5Y014
BLUECROSS
AR
01
—
608639900
USDA
AR
01
—
729459559
TRICARE
AR
Enumeration date
01/20/2006
Last updated
05/03/2013
Update your record
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