Individual
MR. LEON HAWTHORNE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
121 CORTEZ RD, HOT SPRINGS VILLAGE, AR 71909-6101
(501) 922-2000
Mailing address
121 CORTEZ RD, HOT SPRINGS VILLAGE, AR 71909-6101
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 2180
AR
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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