Individual
LARRY T HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(765) 213-3870
(765) 213-3888
Mailing address
3600 W BETHEL AVE, MUNCIE, IN 47304-5407
(800) 622-6575
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31001623A
IN
225XH1200X
Hand Occupational Therapist
Primary
31001623A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31001623A
STATE LICENSE
IN
Enumeration date
12/04/2006
Last updated
01/06/2025
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