Organization
HAWKINS PEDIATRIC THERAPY LLC
Active
Other names
Kidspot
Organization subpart
No
Provider details
NPI number
Authorized official
TARA HAWKINS (OWNER)
(813) 695-7709
Entity
Organization
Contact information
Practice address
410 10TH AVE W, PALMETTO, FL 34221-5032
(941) 722-3582
Mailing address
410 10TH AVE W, PALMETTO, FL 34221-5032
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
04/23/2024
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