Basic Information
| Provider Information | |||||||||
| NPI: | 1861499246 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HILL | ||||||||
| FirstName: | BENJAMIN | ||||||||
| MiddleName: | R | ||||||||
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| Credential: | MS, OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 325 HANSON ST | ||||||||
| Address2: | |||||||||
| City: | WINNEMUCCA | ||||||||
| State: | NV | ||||||||
| PostalCode: | 894453607 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7756252222 | ||||||||
| FaxNumber: | 7756251131 | ||||||||
| Practice Location | |||||||||
| Address1: | 325 HANSON ST | ||||||||
| Address2: | |||||||||
| City: | WINNEMUCCA | ||||||||
| State: | NV | ||||||||
| PostalCode: | 894453607 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7756252222 | ||||||||
| FaxNumber: | 7756251131 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/30/2005 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 0727 | NV | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.