Provider Demographics
NPI:1992161343
Name:HANKINS, EMMA KATHLEEN (OTR/L)
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:KATHLEEN
Last Name:HANKINS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4605 CAHUENGA BLVD
Mailing Address - Street 2:APT #214
Mailing Address - City:TOLUCA LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:91602-1576
Mailing Address - Country:US
Mailing Address - Phone:210-863-1544
Mailing Address - Fax:
Practice Address - Street 1:4605 CAHUENGA BLVD
Practice Address - Street 2:APT #214
Practice Address - City:TOLUCA LAKE
Practice Address - State:CA
Practice Address - Zip Code:91602-1576
Practice Address - Country:US
Practice Address - Phone:210-863-1544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-14
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14660225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist