Individual
RYAN M HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2101 JAMES ST, LAWRENCEVILLE, IL 62439-2027
(618) 943-3444
Mailing address
206 E SCOTT ST, OLNEY, IL 62450-2017
(618) 553-9277
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160007430
IL
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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