Individual
JUSTINE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 POLE LINE ROAD, TWIN FALLS, ID 83301-5810
(208) 814-2495
Mailing address
801 POLE LINE ROAD, TWIN FALLS, ID 83301-5810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT - 4676
ID
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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