Individual
MR. KENNETH R HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124-2203
(440) 312-8560
(440) 312-6765
Mailing address
6780 MAYFIELD RD, MAYFIELD HEIGHTS, OH 44124-2203
(440) 312-8560
(440) 312-6765
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 7024
OH
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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