Individual
CONNIE HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6055 E WASHINGTON BLVD, 900, COMMERCE, CA 90040-2449
(323) 346-0960
(323) 346-0966
Mailing address
209 HAMPDEN TER, ALHAMBRA, CA 91801-2910
(626) 308-9396
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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