Individual
JEANETTE LOUISE SHATTUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
4772 KATELLA AVE STE 100, LOS ALAMITOS, CA 90720-2681
(562) 430-8700
(562) 430-8760
Mailing address
4772 KATELLA AVE STE 100, LOS ALAMITOS, CA 90720-2681
(562) 430-8700
(562) 430-8760
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
AA358119
CA
225X00000X
Occupational Therapist
AA358119
CA
225XE1200X
Ergonomics Occupational Therapist
AA358119
CA
225XH1200X
Hand Occupational Therapist
Primary
AA358119
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5481969
FIRST HEALTH ID
CA
01
—
OT0048180
BLUE SHIELD PIN
CA
Enumeration date
03/09/2007
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us