Individual
MS. REBECCA M HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
250 E BROADWAY, JACKSON, WY 83001
(307) 733-1777
(307) 733-1781
Mailing address
POB 3086, JACKSON, WY 83001
(307) 733-1777
(307) 733-1781
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0154
WY
Other
Enumeration date
12/04/2007
Last updated
12/04/2007
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