| Taylor Hawkins, | |
|
721 Dunaway Ln, Azle, TX 76020-2605 | |
| (817) 444-2536 | |
| Not Available |
| Full Name | Taylor Hawkins |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 721 Dunaway Ln, Azle, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831676154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OT3318 (Mississippi) | Secondary |
| 225X00000X | Occupational Therapist | 120032 (Texas) | Primary |
| Provider Name | Select Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1346368248 PECOS PAC ID: 9032020490 Enrollment ID: O20230227001721 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Hawkins, 1435 Highway 15, Richton, MS 39476-8919 Ph: (256) 302-5127 | Taylor Hawkins, 721 Dunaway Ln, Azle, TX 76020-2605 Ph: (817) 444-2536 |
Bailie Hillman, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 220 S Natural Springs Ln, Azle, TX 76020 Phone: 432-557-8627 | |
Shayna Colleen Lacy, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 721 Dunaway Ln, Azle, TX 76020 Phone: 817-444-2536 | |
Reagan Garcia, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 721 Dunaway Ln, Azle, TX 76020 Phone: 817-444-2536 | |
Erika Anglemyre, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 721 Dunaway Ln, Azle, TX 76020 Phone: 817-444-2536 |