Individual
JAIME L HAWK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
7235 WHIPPLE AVE NW, NORTH CANTON, OH 44720-7137
(330) 498-8200
Mailing address
2647 N PHILLIPS RD, HARROD, OH 45850-9451
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA. 02720
OH
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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