Provider Demographics
NPI:1801611231
Name:HAWKINS, LINDA (PT/CHT)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:PT/CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2375 MOUNT CARMEL AVE
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-4103
Mailing Address - Country:US
Mailing Address - Phone:215-901-8950
Mailing Address - Fax:
Practice Address - Street 1:1510 DEKALB PIKE
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-3300
Practice Address - Country:US
Practice Address - Phone:610-279-5858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT005307L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist