Individual
TYLER THOMAS HAWKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3965 DORAL LN., ELKHART, IN 46517
(574) 221-9298
Mailing address
3965 DORAL LN, ELKHART, IN 46517-3867
(574) 221-9298
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06003745A
IN
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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