Individual
KELLY HAWKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1 OAKWOOD BLVD STE 130, HOLLYWOOD, FL 33020-1937
(954) 925-3844
Mailing address
1537 W HARMONY LAKE CIR, DAVIE, FL 33324-7117
(954) 249-7781
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12100
FL
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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