Individual
JOHN ORSON HAWKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 S STATE ST, SOUTH SALT LAKE, UT 84115-3164
(385) 646-5000
Mailing address
2216 E ATKIN AVE, SALT LAKE CITY, UT 84109-1906
(801) 755-9833
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10631705-2402
UT
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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