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NPI Code Detail

MEDICARE: MRS. ELAINE K HATCHER OTR

MEDICARE:  MRS. ELAINE K HATCHER  OTR
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
1225XP0200XPediatric Occupational TherapistOT1239FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417085127
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELAINE K HATCHER OTR
Provider Business Mailing Address
First Line : 614 HYANNIE ST NE
Second Line :
City : PALM BAY
State : FL
Zip : 32907-1613
Country : US
Telephone Number : 321-768-0714
Fax Number :
Provider Business Practice Location Address
First Line : 614 HYANNIE ST NE
Second Line :
City : PALM BAY
State : FL
Zip : 32907-1613
Country : US
Telephone Number : 321-768-0714
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 02/15/2009

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Directions to “ MRS. ELAINE K HATCHER OTR” Practice Location

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