Individual
KRISTINA HAWKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
17100 E SHEA BLVD STE 600, FOUNTAIN HILLS, AZ 85268-6663
(480) 837-4565
Mailing address
6315 KNIGHTS WAY, KALAMAZOO, MI 49009-7019
(269) 808-8303
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6802
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1050660825
—
MI
Enumeration date
01/03/2017
Last updated
05/09/2018
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