Provider Demographics
NPI:1073925566
Name:HEP LLC
Entity Type:Organization
Organization Name:HEP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:MILHAN
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, PHD, DOAM
Authorized Official - Phone:336-755-2158
Mailing Address - Street 1:835 MERITA ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:NC
Mailing Address - Zip Code:27030-2763
Mailing Address - Country:US
Mailing Address - Phone:336-755-2158
Mailing Address - Fax:
Practice Address - Street 1:835 MERITA ST
Practice Address - Street 2:
Practice Address - City:MOUNT AIRY
Practice Address - State:NC
Practice Address - Zip Code:27030-2763
Practice Address - Country:US
Practice Address - Phone:336-755-2158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-02
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP13423225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty