Provider Demographics
NPI:1053945642
Name:HILLMAN, SARAH ANN (DPT)
Entity type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:ANN
Last Name:HILLMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 STEPHAN LN
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-2900
Mailing Address - Country:US
Mailing Address - Phone:318-787-4283
Mailing Address - Fax:
Practice Address - Street 1:427 EVERGREEN STREET
Practice Address - Street 2:
Practice Address - City:BUNKIE
Practice Address - State:LA
Practice Address - Zip Code:71322
Practice Address - Country:US
Practice Address - Phone:318-346-6681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-24
Last Update Date:2020-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA08921225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist