Individual
SHANTELLE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 SUDBROOK LN, PIKESVILLE, MD 21208-4118
(410) 486-8771
Mailing address
1120 ARGYLE AVE, BALTIMORE, MD 21201-1412
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4318
MD
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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