Provider Demographics
NPI:1346394087
Name:HILLEBERT, JOSEPH ARTHUR JR (PT)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:ARTHUR
Last Name:HILLEBERT
Suffix:JR
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 STRINGTOWN RD
Mailing Address - Street 2:
Mailing Address - City:OROVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95966-8988
Mailing Address - Country:US
Mailing Address - Phone:530-524-3033
Mailing Address - Fax:
Practice Address - Street 1:246 SPRUCE ST
Practice Address - Street 2:EVERGREEN GRIDLEY HEALTHCARE CENTER
Practice Address - City:GRIDLEY
Practice Address - State:CA
Practice Address - Zip Code:95948-2216
Practice Address - Country:US
Practice Address - Phone:530-846-6266
Practice Address - Fax:530-846-0668
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6954225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist