Individual
RONISHA HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
272 LOQUAT RD NW, LAKE PLACID, FL 33852-6541
(863) 243-0965
Mailing address
272 LOQUAT RD NW, LAKE PLACID, FL 33852-6541
(863) 243-0965
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OTA14074
FL
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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