Individual
ERIC NATHANIEL HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BOC ORTHOTIST
Contact information
Practice address
4954 N PALMER RD RM 1501, BETHESDA, MD 20889-5620
(301) 295-4866
Mailing address
4954 N PALMER RD RM 1501, BETHESDA, MD 20889-5620
(301) 295-4866
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C51653
BOARD OF CERTIFICATION IN ORTHOTICS AND PROSTHETICS
—
Enumeration date
11/21/2022
Last updated
11/21/2022
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