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Individual

HALLEY JEAN HAWKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
9221 N GARFIELD AVE, KANSAS CITY, MO 64155-3260
(816) 516-2818
Mailing address
9221 N GARFIELD AVE, KANSAS CITY, MO 64155-3260

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2013019703
MO

Other

Enumeration date
01/29/2020
Last updated
01/29/2020
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