Individual
JESSICA L HAWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1701 LINDEN COURT, PINE MOUNTAIN CLUB, CA 93222-5077
(661) 242-2364
Mailing address
PO BOX 5077, 1701 LINDEN COURT, PINE MOUNTAIN CLUB, CA 93222-5077
(661) 242-2364
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4626
CA
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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