Provider Demographics
NPI:1982881009
Name:HILL, ENRIQUETA ANNE
Entity Type:Individual
Prefix:MRS
First Name:ENRIQUETA
Middle Name:ANNE
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ENRIQUETA
Other - Middle Name:ANNE
Other - Last Name:MUNOZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21964 HIGHWAY 32
Mailing Address - Street 2:
Mailing Address - City:SAINTE GENEVIEVE
Mailing Address - State:MO
Mailing Address - Zip Code:63670
Mailing Address - Country:US
Mailing Address - Phone:573-883-9366
Mailing Address - Fax:573-883-9377
Practice Address - Street 1:21964 HIGHWAY 32
Practice Address - Street 2:
Practice Address - City:SAINTE GENEVIEVE
Practice Address - State:MO
Practice Address - Zip Code:63670
Practice Address - Country:US
Practice Address - Phone:573-883-9366
Practice Address - Fax:573-883-9377
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-31
Last Update Date:2020-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008001947225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist