Healthcare Provider Details

I. General information

NPI: 1134386634
Provider Name (Legal Business Name): REBECCA HAWKINS OTR/CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2008
Last Update Date: 07/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 MINGES CREEK PL
BATTLE CREEK MI
49015
US

IV. Provider business mailing address

5348 HOAG RD
BATTLE CREEK MI
49015-9389
US

V. Phone/Fax

Practice location:
  • Phone: 269-979-6365
  • Fax:
Mailing address:
  • Phone: 269-217-8122
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number200811595
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number5201009726
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: