Provider Demographics
NPI:1528537941
Name:HEWKIN, HILARY (AT)
Entity Type:Individual
Prefix:MS
First Name:HILARY
Middle Name:
Last Name:HEWKIN
Suffix:
Gender:F
Credentials:AT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21225 LORAIN RD
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW PARK
Mailing Address - State:OH
Mailing Address - Zip Code:44126-2120
Mailing Address - Country:US
Mailing Address - Phone:440-331-3180
Mailing Address - Fax:440-331-3183
Practice Address - Street 1:21225 LORAIN RD
Practice Address - Street 2:
Practice Address - City:FAIRVIEW PARK
Practice Address - State:OH
Practice Address - Zip Code:44126-2120
Practice Address - Country:US
Practice Address - Phone:440-331-3180
Practice Address - Fax:440-331-3183
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-14
Last Update Date:2018-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAT0010122255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer