Provider Demographics
NPI:1316197676
Name:FREUND, HILARY GENISE (DPT)
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:GENISE
Last Name:FREUND
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:
Other - Last Name:GENISE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2145 THE ALAMEDA
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95126-1141
Mailing Address - Country:US
Mailing Address - Phone:408-248-6886
Mailing Address - Fax:408-248-4923
Practice Address - Street 1:5434 THORNWOOD DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-1214
Practice Address - Country:US
Practice Address - Phone:408-365-8396
Practice Address - Fax:408-365-8397
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34791225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ29361ZOtherGROUP PIN
CA1053320325OtherTYPE2 NPI