Individual
MICHAEL HILDEBRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
205 BARKER DR, MONROE, LA 71203-6547
(318) 512-1887
Mailing address
205 BARKER DR, MONROE, LA 71203-6547
(318) 512-1887
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
08806
LA
225100000X
Physical Therapist
1256807
TX
Other
Enumeration date
05/06/2015
Last updated
08/19/2019
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