Provider Demographics
NPI:1730310160
Name:TERHUNE, HILARY DIANNE (PT)
Entity Type:Individual
Prefix:MS
First Name:HILARY
Middle Name:DIANNE
Last Name:TERHUNE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:HILARY
Other - Middle Name:DIANE
Other - Last Name:GIBSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:331 VERANDA ST.
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103
Mailing Address - Country:US
Mailing Address - Phone:207-874-1125
Mailing Address - Fax:207-874-1127
Practice Address - Street 1:331 VERANDA ST.
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103
Practice Address - Country:US
Practice Address - Phone:207-874-1125
Practice Address - Fax:207-874-1127
Is Sole Proprietor?:No
Enumeration Date:2009-08-03
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT2965225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist