Individual
MR. JEREMY HILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
JEREMY HILLARD, PTA
Contact information
Practice address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 444-6350
(610) 925-4000
Mailing address
1113 22ND AVE, ALTOONA, PA 16601-3006
(814) 942-1276
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI002107
PA
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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