Provider Demographics
NPI:1346437803
Name:HILMAR, LORINDA (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:LORINDA
Middle Name:
Last Name:HILMAR
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COMPUTER DR W
Mailing Address - Street 2:SUITE 126 A
Mailing Address - City:COLONIE
Mailing Address - State:NY
Mailing Address - Zip Code:12205-1621
Mailing Address - Country:US
Mailing Address - Phone:518-458-9113
Mailing Address - Fax:518-458-9117
Practice Address - Street 1:3 COMPUTER DR W
Practice Address - Street 2:SUITE 126 A
Practice Address - City:COLONIE
Practice Address - State:NY
Practice Address - Zip Code:12205-1621
Practice Address - Country:US
Practice Address - Phone:518-458-9113
Practice Address - Fax:518-458-9117
Is Sole Proprietor?:No
Enumeration Date:2007-09-28
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011034225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY011034OtherNYS LICENSE NUMBER