Individual
DAVID ELI HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.P.T
Contact information
Practice address
17235 N 75TH AVE STE E145, GLENDALE, AZ 85308
(623) 201-7210
(236) 201-7214
Mailing address
17235 N 75TH AVE STE E145, GLENDALE, AZ 85308-0867
(623) 201-7210
(623) 201-7214
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1466
NV
225100000X
Physical Therapist
Primary
8768
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003402879
—
NV
Enumeration date
12/06/2005
Last updated
09/05/2018
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