Provider Demographics
NPI:1053735621
Name:HILLMAN, NIKKI LYN (COTA/L)
Entity type:Individual
Prefix:MS
First Name:NIKKI
Middle Name:LYN
Last Name:HILLMAN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5904 MAXFLI LN
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-4785
Mailing Address - Country:US
Mailing Address - Phone:513-339-1362
Mailing Address - Fax:
Practice Address - Street 1:211 N EAST ST
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-1760
Practice Address - Country:US
Practice Address - Phone:513-398-0474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-18
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant