Provider Demographics
NPI:1710462106
Name:HILEMAN, JOANNA LEE
Entity Type:Individual
Prefix:MRS
First Name:JOANNA
Middle Name:LEE
Last Name:HILEMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1278 W BLAIR PIKE RD
Mailing Address - Street 2:
Mailing Address - City:PERU
Mailing Address - State:IN
Mailing Address - Zip Code:46970-8031
Mailing Address - Country:US
Mailing Address - Phone:765-469-5141
Mailing Address - Fax:
Practice Address - Street 1:1278 W BLAIR PIKE RD
Practice Address - Street 2:
Practice Address - City:PERU
Practice Address - State:IN
Practice Address - Zip Code:46970-8031
Practice Address - Country:US
Practice Address - Phone:765-469-5141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-01
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist