Provider Demographics
NPI:1174271944
Name:HILL, ABAGALE OREINA (PTA)
Entity Type:Individual
Prefix:
First Name:ABAGALE
Middle Name:OREINA
Last Name:HILL
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:ABAGAIL
Other - Middle Name:OREINA
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PTA
Mailing Address - Street 1:439 N COURT ST
Mailing Address - Street 2:
Mailing Address - City:BRONSON
Mailing Address - State:FL
Mailing Address - Zip Code:32621-6111
Mailing Address - Country:US
Mailing Address - Phone:352-507-3772
Mailing Address - Fax:
Practice Address - Street 1:1415 FORT CLARKE BLVD
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-7181
Practice Address - Country:US
Practice Address - Phone:352-325-3081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-11
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL31809225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant