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Individual
JENNIFER ANN HAWKS
Active
Individual
JENNIFER ANN HAWKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3533
OR
225700000X
Massage Therapist
13630
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396130894
GROUP NPI
OR
Enumeration date
08/11/2009
Last updated
06/11/2023
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