Provider Demographics
NPI:1093029670
Name:HILBERT, DENNIS CHRISTOPHER (PTA)
Entity Type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:CHRISTOPHER
Last Name:HILBERT
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:908 SE 22ND ST
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-2537
Mailing Address - Country:US
Mailing Address - Phone:239-242-8416
Mailing Address - Fax:
Practice Address - Street 1:908 SE 22ND ST
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-2537
Practice Address - Country:US
Practice Address - Phone:239-242-8416
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA 18856225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant