Provider Demographics
NPI:1336997766
Name:HAWKINS, SARAH CAROLINE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:CAROLINE
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20920 CABOT AVE
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46536-9533
Mailing Address - Country:US
Mailing Address - Phone:574-780-8441
Mailing Address - Fax:
Practice Address - Street 1:3305 GRAPE RD STE 3
Practice Address - Street 2:
Practice Address - City:MISHAWAKA
Practice Address - State:IN
Practice Address - Zip Code:46545-2714
Practice Address - Country:US
Practice Address - Phone:574-217-7423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-09
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05014717A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist