Provider Demographics
NPI:1194366781
Name:MENESTRINA, HILLARY (DPT)
Entity Type:Individual
Prefix:
First Name:HILLARY
Middle Name:
Last Name:MENESTRINA
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 1:603 W GRAND RIVER AVE STE C
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48116-2390
Mailing Address - Country:US
Mailing Address - Phone:810-534-7004
Mailing Address - Fax:810-775-1046
Practice Address - Street 1:603 W GRAND RIVER AVE STE C
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48116-2390
Practice Address - Country:US
Practice Address - Phone:810-534-7004
Practice Address - Fax:810-775-1046
Is Sole Proprietor?:No
Enumeration Date:2019-10-04
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501019351225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist