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Individual

JORDAN HAWKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
813 PINEY MOUNTAIN CHURCH RD, ELLENBORO, NC 28040-8656
(828) 453-8185
Mailing address
1695 NEW HOUSE RD, ELLENBORO, NC 28040-6778
(828) 447-3238

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1904
SC
225X00000X
Occupational Therapist
Primary
13655
NC

Other

Enumeration date
07/22/2016
Last updated
03/10/2026
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