Individual
MRS. CANDICE CONEY HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
207 CRESTHILL DR, YOUNGSVILLE, LA 70592-5666
(337) 857-9477
Mailing address
207 CRESTHILL DR, YOUNGSVILLE, LA 70592-5666
(337) 857-9477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01583
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326321
—
LA
Enumeration date
03/12/2007
Last updated
07/08/2007
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