Individual
ANGELA HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2707 PINE ST, SAN FRANCISCO, CA 94115-2522
(415) 563-7600
Mailing address
1621 CAMPBELL AVE, SAN JOSE, CA 95125-5506
(727) 543-3189
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19838
CA
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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