Individual
MARK HILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1980 OLD GREENSBURG RD, CAMPBELLSVILLE, KY 42718-2536
(270) 465-3506
Mailing address
1980 OLD GREENSBURG RD, CAMPBELLSVILLE, KY 42718-2536
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R1369
KY
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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