Individual
TIFFANY HAWKINBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 ASHLEY CIR APT 2, ATHENS, GA 30605-2873
(386) 228-7058
Mailing address
109 ASHLEY CIR APT 2, ATHENS, GA 30605-2873
(386) 228-7058
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001933
GA
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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