Individual
MARK HILLMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15587 MANCHESTER RD, BALLWIN, MO 63011-3001
(636) 562-0300
Mailing address
681 WALNUT POINT CT, BALLWIN, MO 63021-6212
(636) 394-6386
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111386
LICENSE #
MO
Enumeration date
08/27/2006
Last updated
07/08/2007
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