Individual
BRIAN HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
230 N MAPLE AVE STE B10, MARLTON, NJ 08053-9423
(856) 396-2500
Mailing address
230 N MAPLE AVE, STE B10, MARLTON, NJ 08053-9423
(215) 605-2615
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/12/2018
Last updated
07/18/2018
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