Individual
KATHLEEN HILLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10872 SIMPKINS LN, MARION, IL 62959-6927
(618) 982-9328
Mailing address
10872 SIMPKINS LN, MARION, IL 62959-6927
(618) 982-9328
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.004344
IL
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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