Provider Demographics
NPI:1669453494
Name:HAWES, CINDY W (PT)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:W
Last Name:HAWES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1330
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NC
Mailing Address - Zip Code:28443-1330
Mailing Address - Country:US
Mailing Address - Phone:910-319-0101
Mailing Address - Fax:910-319-0250
Practice Address - Street 1:405 SENECA REEF DR
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NC
Practice Address - Zip Code:28443-7261
Practice Address - Country:US
Practice Address - Phone:910-319-0101
Practice Address - Fax:910-319-0250
Is Sole Proprietor?:No
Enumeration Date:2005-11-09
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9059225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7211556Medicaid
NC7211556Medicaid