Provider Demographics
NPI:1205033313
Name:HILPL, JACQUELINE C (PT)
Entity Type:Individual
Prefix:MRS
First Name:JACQUELINE
Middle Name:C
Last Name:HILPL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 WOODHALL TER
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34685-1421
Mailing Address - Country:US
Mailing Address - Phone:727-786-3487
Mailing Address - Fax:727-725-6022
Practice Address - Street 1:3231 MC MULLEN BOOTH RD
Practice Address - Street 2:MEASE HOSPITAL COUNTRYSIDE
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695
Practice Address - Country:US
Practice Address - Phone:727-725-6106
Practice Address - Fax:727-725-6022
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT0005509225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist