Individual
RENEE MARIE HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
600 ROBBINS RD, BOISE, ID 83702-4539
(208) 489-4831
(208) 489-4052
Mailing address
9975 N PRAIRIE RD, BOISE, ID 83714-9792
(208) 939-0393
(208) 486-4052
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-430
ID
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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