Provider Demographics
NPI:1619220548
Name:HILL, ROBERTA JEAN (LMT)
Entity Type:Individual
Prefix:MISS
First Name:ROBERTA
Middle Name:JEAN
Last Name:HILL
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 WASHINGTON ST
Mailing Address - Street 2:SUITE #8
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02188-1721
Mailing Address - Country:US
Mailing Address - Phone:781-335-7202
Mailing Address - Fax:
Practice Address - Street 1:94 WASHINGTON ST
Practice Address - Street 2:SUITE #8
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02188-1721
Practice Address - Country:US
Practice Address - Phone:781-335-7202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-16
Last Update Date:2012-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty