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NPI Code Detail

MEDICARE: MS. TERESA MARIE HATZ OTR/L

MEDICARE:  MS. TERESA MARIE HATZ  OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist4176CA

General Provider Information

NPI Number : 1952775074
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TERESA MARIE HATZ OTR/L
Provider Business Mailing Address
First Line : 6106 HAYTER AVE
Second Line :
City : LAKEWOOD
State : CA
Zip : 90712-1024
Country : US
Telephone Number : 562-602-2898
Fax Number :
Provider Business Practice Location Address
First Line : 6106 HAYTER AVE
Second Line :
City : LAKEWOOD
State : CA
Zip : 90712-1024
Country : US
Telephone Number : 562-602-2898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2015
Last Update Date : 12/01/2015

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Directions to “ MS. TERESA MARIE HATZ OTR/L” Practice Location

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