Individual
NICOLE TATIANA HAWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
19820 SR 410 E, SUITE 201, BONNEY LAKE, WA 98391-6377
(253) 863-7510
(253) 863-5970
Mailing address
PO BOX 2170, SUMNER, WA 98390-0480
(253) 840-2313
(253) 840-6340
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60091437
WA
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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