Individual
LAURA HAWKESWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1433 W FLOURNOY ST, CHICAGO, IL 60607-3205
(773) 574-3086
Mailing address
1433 W FLOURNOY ST, CHICAGO, IL 60607-3205
(773) 574-3086
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
—
—
225X00000X
Occupational Therapist
Primary
056.009137
IL
225XP0200X
Pediatric Occupational Therapist
056.009137
—
Other
Enumeration date
05/17/2007
Last updated
09/09/2010
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