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Tina Renae Hawkins, PTA

Physical Therapy Assistant in Anaheim, CA. Individual provider (NPI-1).

NPI number1669900668
StatusActive
Last updated in NPPESJun 2, 2017

Details

NPI
1669900668
Entity type
Individual (NPI-1)
Name
Tina Renae Hawkins
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
Jun 2, 2017
Last updated
Jun 2, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant48644CAYes

Practice location

215 N State College Blvd Ste G
Anaheim, CA 92806-2932

Phone 714-999-6596

Mailing address

215 N State College Blvd Ste G
Anaheim, CA 92806-2932

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