Individual
ALTA HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S BUHLER RD, BUHLER, KS 67522-8133
(620) 543-5150
Mailing address
400 S BUHLER RD, BUHLER, KS 67522-8133
(620) 543-5150
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01068
KS
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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