Individual
KAYLA LYNN HAWBAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
324 HARD ROCK LN, PORT MATILDA, PA 16870-9343
(814) 404-1667
Mailing address
324 HARD ROCK LN, PORT MATILDA, PA 16870-9343
(814) 404-1667
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
PA
Other
Enumeration date
10/11/2020
Last updated
10/11/2020
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