Provider Demographics
NPI:1083871867
Name:KILHART, DARLENE ANN (PT, DPT, MS)
Entity Type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:ANN
Last Name:KILHART
Suffix:
Gender:F
Credentials:PT, DPT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 ADAMS DR
Mailing Address - Street 2:
Mailing Address - City:ATHOL
Mailing Address - State:MA
Mailing Address - Zip Code:01331-9690
Mailing Address - Country:US
Mailing Address - Phone:978-249-2983
Mailing Address - Fax:
Practice Address - Street 1:56 ADAMS DR
Practice Address - Street 2:
Practice Address - City:ATHOL
Practice Address - State:MA
Practice Address - Zip Code:01331-9690
Practice Address - Country:US
Practice Address - Phone:978-249-2983
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6567225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist