Provider Demographics
NPI:1770038309
Name:GIVEN, EMILY HAWKINS (OTR/L)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:HAWKINS
Last Name:GIVEN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:LAYNE
Other - Last Name:HAWKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:125 STERLING WAY
Mailing Address - Street 2:
Mailing Address - City:MOUNT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-1172
Mailing Address - Country:US
Mailing Address - Phone:859-498-3343
Mailing Address - Fax:
Practice Address - Street 1:125 STERLING WAY
Practice Address - Street 2:
Practice Address - City:MOUNT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-1172
Practice Address - Country:US
Practice Address - Phone:859-498-3343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-24
Last Update Date:2016-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY164866225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist