Individual
PRISCILLA A. HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
924 S COMMERCIAL ST, HARRISBURG, IL 62946-2637
(618) 499-3587
Mailing address
924 S COMMERCIAL ST, HARRISBURG, IL 62946-2637
(618) 499-3587
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160-003341
IL
Other
Enumeration date
11/29/2009
Last updated
11/29/2009
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