Provider Demographics
NPI:1942589064
Name:HILL, CAREY ANN
Entity Type:Individual
Prefix:
First Name:CAREY
Middle Name:ANN
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CAREY
Other - Middle Name:ANN
Other - Last Name:CHERVENAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:547 DIAMONDVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CLYMER
Mailing Address - State:PA
Mailing Address - Zip Code:15728-8004
Mailing Address - Country:US
Mailing Address - Phone:724-422-6312
Mailing Address - Fax:
Practice Address - Street 1:680 LIONS HEALTH CAMP RD
Practice Address - Street 2:
Practice Address - City:INDIANA
Practice Address - State:PA
Practice Address - Zip Code:15701-8781
Practice Address - Country:US
Practice Address - Phone:724-463-8705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-07
Last Update Date:2011-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT014128L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist