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Individual

MR. MARK DEE HILDEBRAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
1004 E BRYAN AVE, SAPULPA, OK 74066-4513
(918) 224-4280
(918) 224-9227
Mailing address
9913 E 85TH PL, TULSA, OK 74133-4511
(918) 294-1602

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT2525
OK
2251C2600X
Cardiopulmonary Physical Therapist
PT2525
OK
2251N0400X
Neurology Physical Therapist
PT2525
OK
2251S0007X
Sports Physical Therapist
PT2525
OK
2251X0800X
Orthopedic Physical Therapist
Primary
PT2525
OK

Other

Enumeration date
05/10/2007
Last updated
09/11/2025
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