# SHATTUCK REHABILITATION SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Healing Hands Therapy & Wellness Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245361591
- **Authorized official:** JEANETTE LOUISE SHATTUCK OTR L (PRESIDENT)
- **Authorized official phone:** (562) 430-8700

## Contact information

- **Practice address:** 4772 KATELLA AVE STE 100, LOS ALAMITOS, CA 90720-2681
- **Practice address phone:** (562) 430-8700
- **Practice address fax:** (562) 430-8760
- **Mailing address:** 4772 KATELLA AVE STE 100, LOS ALAMITOS, CA 90720-2681
- **Mailing address phone:** (562) 430-8700
- **Mailing address fax:** (562) 430-8760

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | AA358119 | CA | — |
| 225XE1200X | Ergonomics Occupational Therapist | AA358119 | CA | — |
| 225XH1200X | Hand Occupational Therapist | AA358119 | CA | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | CA | — |

## Other

- **Enumeration date:** 03/08/2007
- **Last updated:** 02/19/2015