BRIAN E. HAWK

CHARLESTON, AR
NPI1588978274
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  PTA2436)
Enumeration Date2010-08-05
Last Update Date2010-08-05
Business Address
-- BRIAN E. HAWK PTA
1919 CHARMONT DRIVE
CHARLESTON, AR 72933
Phone number: 479-965-6752
Mailing Address
-- BRIAN E. HAWK PTA
PO BOX 392
CHARLESTON, AR 72933-0392
Phone number: 479-806-3475