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Individual

HAWII MEKONNEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
4286 BELLS FERRY ROAD NW, SUITE 210, KENNESAW, GA 30144
(678) 401-7401
(678) 623-5750
Mailing address
1240 SILVERCREST CT SW, POWDER SPRINGS, GA 30127-6081
(251) 753-4336

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
480504
GA

Other

Enumeration date
05/25/2023
Last updated
05/25/2023
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