Individual
KATIE CAROL HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
10631 S 51ST ST STE 8, PHOENIX, AZ 85044-5225
(480) 398-4280
(480) 398-4281
Mailing address
PO BOX 50218, PHOENIX, AZ 85076-0218
(480) 398-4280
(480) 398-4281
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
046620
AZ
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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