Individual
JEANETTE HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
59 HARRINGTON CT, COLCHESTER, CT 06415-1207
(860) 537-2339
Mailing address
8 WHISPERING WOODS RD, EAST HAMPTON, CT 06424-6101
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007629
CT
Other
Enumeration date
08/31/2011
Last updated
03/14/2016
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