Individual
MRS. LEAH MRS HAWKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1901 BRIAR RIDGE RD, TUPELO, MS 38804-5903
(662) 844-0675
Mailing address
PO BOX 428, ORCHARD PARK, NY 14127-0428
(716) 662-4955
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2812
—
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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