Doctor Name: | MISS ANGIE M HAWKINS |
NPI Number: | 1013019298 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR,CHT |
License Number: | 109093 |
Business Practice Address: | 3206 N 4th St Longview, TX - 756055143 |
Business Phone Number: | 9037536635 |
Business Fax Number: | |
Mailing Address: | 3206 N 4th St, LONGVIEW |
State: | TX |
Postal Code: | 756055143 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 109093 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |