Provider Demographics
NPI:1174800023
Name:HAWKINS, LAURELEE INANNA (OTR/L)
Entity type:Individual
Prefix:MS
First Name:LAURELEE
Middle Name:INANNA
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 LOUIS DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-3232
Mailing Address - Country:US
Mailing Address - Phone:516-694-5796
Mailing Address - Fax:
Practice Address - Street 1:33 BEDFORD RD
Practice Address - Street 2:
Practice Address - City:PLAINVIEW
Practice Address - State:NY
Practice Address - Zip Code:11803-2601
Practice Address - Country:US
Practice Address - Phone:516-937-6334
Practice Address - Fax:516-937-6347
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-07
Last Update Date:2011-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000139-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics