Basic Information
| Provider Information | |||||||||
| NPI: | 1346394087 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HILLEBERT | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | ARTHUR | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15 STRINGTOWN RD | ||||||||
| Address2: | |||||||||
| City: | OROVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959668988 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5305243033 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 246 SPRUCE ST | ||||||||
| Address2: | EVERGREEN GRIDLEY HEALTHCARE CENTER | ||||||||
| City: | GRIDLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959482216 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5308466266 | ||||||||
| FaxNumber: | 5308460668 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/22/2007 | ||||||||
| LastUpdateDate: | 05/07/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 6954 | CA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.