Provider Demographics
NPI:1427283183
Name:HILLS, PUNAM (PT)
Entity type:Individual
Prefix:
First Name:PUNAM
Middle Name:
Last Name:HILLS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7855 S EMERSON AVE
Mailing Address - Street 2:SUITE W
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46237-8668
Mailing Address - Country:US
Mailing Address - Phone:317-889-5340
Mailing Address - Fax:317-889-5711
Practice Address - Street 1:7855 S EMERSON AVE
Practice Address - Street 2:SUITE W
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46237-8668
Practice Address - Country:US
Practice Address - Phone:317-889-5340
Practice Address - Fax:317-889-5711
Is Sole Proprietor?:No
Enumeration Date:2009-05-26
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05009887A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist