Individual
MARK STEVEN HILDEBRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
87 N MAIN ST, RUTLAND, VT 05701-3257
(802) 747-6394
(802) 747-9073
Mailing address
87 N MAIN ST, RUTLAND, VT 05701-3257
(802) 747-6394
(802) 747-9073
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400002686
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007968
—
VT
Enumeration date
02/28/2007
Last updated
10/02/2013
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