Individual
BRIAN E. HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1919 CHARMONT DRIVE, CHARLESTON, AR 72933
(479) 965-6752
Mailing address
PO BOX 392, CHARLESTON, AR 72933-0392
(479) 806-3475
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2436
AR
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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