| Jennifer Ann Hawke, | |
|
7960 Center St, Mentor, OH 44060-7863 | |
| (440) 299-6120 | |
| Not Available |
| Full Name | Jennifer Ann Hawke |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 7960 Center St, Mentor, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750870721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT009537 (Ohio) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1174153266 PECOS PAC ID: 2163339722 Enrollment ID: O20200304001327 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Ann Hawke, 4408 Perkins Ave, Cleveland, OH 44103-3544 Ph: (440) 855-1031 | Jennifer Ann Hawke, 7960 Center St, Mentor, OH 44060-7863 Ph: (440) 299-6120 |
Tina L. Soukup, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6451 Center St, Mentor, OH 44060 Phone: 440-255-4444 | |
Mrs. Nicole Kilijanczyk, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7090 Hopkins Rd, Mentor, OH 44060 Phone: 440-255-6609 | |
Mrs. Elizabeth Diane Stevens, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7960 Center St, Mentor, OH 44060 Phone: 440-299-6120 | |
Miss Kaitlyn Irene Schroeder, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7960 Center St, Mentor, OH 44060 Phone: 440-299-8490 | |
Veronica Herubin, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7090 Hopkins Rd, Mentor, OH 44060 Phone: 440-255-6609 | |
Robin Uhland, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8090 Broadmoor Rd, Mentor, OH 44060 Phone: 440-602-1010 | |
Lauren Vietmeier, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8010 Deepwood Blvd Apt 24, Mentor, OH 44060 Phone: 440-539-9487 |