Individual
MR. ALAN WALTER HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
845 SOUTH MAIN STREET, SUITE 120, FOND DU LAC, WI 54935
(920) 322-0447
(920) 322-1362
Mailing address
845 SOUTH MAIN STREET, SUITE 120, FOND DU LAC, WI 54935
(920) 322-0447
(920) 322-1362
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
631-019
WI
225200000X
Physical Therapy Assistant
Primary
831-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40333600
—
WI
Enumeration date
05/08/2007
Last updated
02/01/2010
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