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Individual

PHILIP HATTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
14260 S DENNY BLVD, LITCHFIELD PARK, AZ 85340-9448
(623) 537-7436
Mailing address
13829 W MONTEBELLO AVE, LITCHFIELD PARK, AZ 85340-7384

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5270
AZ

Other

Enumeration date
12/28/2012
Last updated
12/28/2012
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