Individual
MRS. AUDRA MARLO HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(800) 215-8262
(906) 779-3187
Mailing address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(800) 215-8262
(906) 779-3187
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001780
MI
Other
Enumeration date
08/07/2012
Last updated
08/07/2012
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