Individual
MS. KELLY LYN HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
701 CLAY AVE, WACO, TX 76799-0001
(800) 827-1000
Mailing address
108 JOYCE ST, WHITNEY, TX 76692-2200
(254) 205-6567
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
113288
TX
Other
Enumeration date
08/20/2010
Last updated
08/20/2010
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