Provider Demographics
NPI:1437647435
Name:LINCOLN, HILLARY RAE (PTA)
Entity Type:Individual
Prefix:MRS
First Name:HILLARY
Middle Name:RAE
Last Name:LINCOLN
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 627
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:TX
Mailing Address - Zip Code:76527-0627
Mailing Address - Country:US
Mailing Address - Phone:512-818-4203
Mailing Address - Fax:512-818-4203
Practice Address - Street 1:2010 CR 228
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:TX
Practice Address - Zip Code:76527
Practice Address - Country:US
Practice Address - Phone:512-818-4203
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-25
Last Update Date:2018-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant