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NPI Code Detail

MEDICARE: DESTINY A HAWKINS

MEDICARE: DESTINY A HAWKINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational TherapistLA

General Provider Information

NPI Number : 1780542787
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESTINY A HAWKINS
Provider Business Mailing Address
First Line : 36496 RETREAT LN
Second Line :
City : PRAIRIEVILLE
State : LA
Zip : 70769-3479
Country : US
Telephone Number : 225-220-5543
Fax Number :
Provider Business Practice Location Address
First Line : 17520 OLD JEFFERSON HWY
Second Line :
City : PRAIRIEVILLE
State : LA
Zip : 70769-3903
Country : US
Telephone Number : 225-300-6710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2026
Last Update Date : 01/10/2026

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Directions to “ DESTINY A HAWKINS ” Practice Location

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