Individual
BESS C HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4100 MOORES LN, TEXARKANA, TX 75503-5102
(903) 832-5515
Mailing address
1510 E 42ND ST, TEXARKANA, AR 71854-1639
(903) 278-9410
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213721
TX
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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