Individual
AMBER VALENE HAWKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
285 W FRANCIS ST, BLACKFOOT, ID 83221-1751
(208) 785-0123
Mailing address
285 W FRANCIS ST, BLACKFOOT, ID 83221-1751
(208) 785-0123
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5142
ID
Other
Enumeration date
08/08/2017
Last updated
07/21/2022
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