Healthcare Provider Details

I. General information

NPI: 1750631545
Provider Name (Legal Business Name): ROBIN JANINE HAWKINS OTR, CLT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2012
Last Update Date: 09/19/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 W MAIN ST
FREEHOLD NJ
07728-2537
US

IV. Provider business mailing address

901 W MAIN ST
FREEHOLD NJ
07728-2537
US

V. Phone/Fax

Practice location:
  • Phone: 732-294-2700
  • Fax: 732-294-2568
Mailing address:
  • Phone: 732-294-2700
  • Fax: 732-294-2568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number46TR00024800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: