Individual
SALLY HAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
11033 CATHELL RD, BERLIN, MD 21811-9328
(410) 208-3630
Mailing address
11546 S DOLLY CIR, BERLIN, MD 21811-3249
(410) 208-3630
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
02179
MD
225XH1200X
Hand Occupational Therapist
U10000904
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64125001
CAREFIRST INDIVIDUAL #
MD
01
—
754AAT
GROUP# CAREFIRST
MD
01
—
DC7481
RAIL ROAD MEDICARE GROUP
MD
01
—
J564
GROUP BLUE CHOICE/FEDERAL
MD
01
—
J564002
BLUE CHOICE/FEDERAL BLUE
MD
01
—
P00187997
RAIL ROAD MEDICARE
MD
Enumeration date
09/26/2006
Last updated
07/08/2007
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