MRS. Jessica Jewel Hawley, ATC

NPI #1538224100 in Champlin, Minnesota

Provider Information

NPI Number
1538224100
Entity Type
Individual
Name
MRS. Jessica Jewel Hawley, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist, Other
Credential
ATC
Enumeration Date
Dec 26, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
6025 109TH AVE N
ZIP Code
55316-3475
Phone
(952) 220-1879

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist, Other

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