| NPI | 1023339942 |
|---|---|
| Former Name | LAUREN M HAWKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NE 3521) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IN 05010318A) |
| 225100000X Physical Therapist (Licence: WI 12183-24) | |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2015-09-08 |