Individual
M HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
BLDG 576 JEFFERSON AVE, FT. EUSTIS, VA 23604
(757) 314-7541
Mailing address
BLDG 576 JEFFERSON AVE, FT. EUSTIS, VA 23604
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
09/30/2008
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