Individual
KRISTY R HAWTHRONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1316 JACKIE RD SE STE 900, RIO RANCHO, NM 87124-6612
(505) 289-1042
(505) 466-5895
Mailing address
1316 JACKIE RD SE STE 900, RIO RANCHO, NM 87124-6612
(505) 289-1042
(505) 466-5895
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4185
NM
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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