Provider Demographics
NPI:1659098820
Name:HAWKINS, DAPHNE (RRT)
Entity Type:Individual
Prefix:MRS
First Name:DAPHNE
Middle Name:
Last Name:HAWKINS
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:DAPHNE
Other - Middle Name:
Other - Last Name:HAWKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2215 FULLER RD # 111G
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-2300
Mailing Address - Country:US
Mailing Address - Phone:734-845-5792
Mailing Address - Fax:
Practice Address - Street 1:2215 FULLER RD # 111G
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-2303
Practice Address - Country:US
Practice Address - Phone:734-845-5792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI440103872227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered