Individual
JANE PRUETT HILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14519
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214517
MDIPA/OC/MAMSI/APPO
MD
01
—
529947
AETNA HMO
MD
01
—
5387476
AETNA PPO
MD
01
—
544075-01
CAREFIRST BLUE CROSS/BLUE
MD
01
—
KY69CR
CAREFIRST BC/BS NATL'L
MD
01
—
R926-0001
CAREFIRST BC/BS FEP
MD
Enumeration date
08/30/2006
Last updated
07/08/2007
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