Provider Demographics
NPI:1457415036
Name:MAGARILL-HILLMAN, LISA A (DPTPHYSICAL THERAPIS)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:A
Last Name:MAGARILL-HILLMAN
Suffix:
Gender:F
Credentials:DPTPHYSICAL THERAPIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7208 VERBENA RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-1036
Mailing Address - Country:US
Mailing Address - Phone:410-653-3881
Mailing Address - Fax:410-653-3881
Practice Address - Street 1:9492 DEERECO RD
Practice Address - Street 2:MEGAN RICH PHYSICAL THERAPY
Practice Address - City:TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-2102
Practice Address - Country:US
Practice Address - Phone:410-653-3881
Practice Address - Fax:410-653-3881
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15341225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist