Individual
TAMMY T HAWKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
231 KING PARK CIR, MOUNT AIRY, NC 27030-9325
(336) 648-0593
Mailing address
PO BOX 6704, MOUNT AIRY, NC 27030-6704
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4796
NC
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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