Brenda Nicole Hawkins
Individual provider Active NPI Occupational Therapy Assistant · Heathrow, FL
NPI 1790918886 · NPPES record last updated Aug 24, 2009
Key facts
- NPI
- 1790918886
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 5202003355 (MI)
- Practice address
- 1485 International Pkwy
Heathrow, FL 32746-5303 - Phone
- (800) 798-6035
- NPI assigned
- Aug 24, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5202003355 | MI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5202003355 | MI | Yes |
Addresses
Primary practice location
1485 International Pkwy
Heathrow, FL 32746-5303
Mailing address
1485 International Pkwy
Heathrow, FL 32746-5303
Phone (800) 798-6035
Other providers in Heathrow, FL
- Tara Lea Green
- Tracy Ann Griffith
- Clarisa Stephanie Guerrero
- Chris Guthrie
- Everett Harris
- Angela Hays
- Margaret Hogle
- Margaree Gaynell Hood
- Braden Hostetler
- Stanley Houston
All providers in Heathrow, FL · Occupational Therapy Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.