| Doctor Name: | MR. MARK DEE HILDEBRAND |
| NPI Number: | 1295949022 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.T. |
| License Number: | PT2525 |
| Business Practice Address: | 1004 E Bryan Ave Sapulpa, OK - 740664513 |
| Business Phone Number: | 9182244280 |
| Business Fax Number: | 9182249227 |
| Mailing Address: | 9913 E 85th Pl, TULSA |
| State: | OK |
| Postal Code: | 741334511 |
| Phone Number: | 9182941602 |
| Fax Number: | |
| NPI Enumeration Date: | 05/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT2525 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | OK |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |