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Individual

REBECCA HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/CHT

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
200811595
MO
225XH1200X
Hand Occupational Therapist
Primary
5201009726
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5201009726
OT
MI
Enumeration date
05/21/2008
Last updated
07/13/2018
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