Provider Demographics
NPI:1780908798
Name:HAWLEY, ROSEMARIE (PT)
Entity type:Individual
Prefix:
First Name:ROSEMARIE
Middle Name:
Last Name:HAWLEY
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 1:109 PENNOCK LANDING CIR
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-4019
Mailing Address - Country:US
Mailing Address - Phone:561-818-3978
Mailing Address - Fax:
Practice Address - Street 1:109 PENNOCK LANDING CIR
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-4019
Practice Address - Country:US
Practice Address - Phone:561-818-3978
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-19
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT12495225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist