Provider Demographics
NPI:1699891168
Name:HILLMAN, MILDRED V (DPT)
Entity type:Individual
Prefix:
First Name:MILDRED
Middle Name:V
Last Name:HILLMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MILDED
Other - Middle Name:V
Other - Last Name:LIMCAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:393 E WALNUT ST
Mailing Address - Street 2:PHR, 3RD FLOOR
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91188-0001
Mailing Address - Country:US
Mailing Address - Phone:877-608-0044
Mailing Address - Fax:877-514-0903
Practice Address - Street 1:3900 E PACIFIC COAST HWY
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-2013
Practice Address - Country:US
Practice Address - Phone:562-986-2375
Practice Address - Fax:562-986-2322
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT29605225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist