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Individual

MS. LILA E HATCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
1650 BARLOW STREET, SUITE 11, TRAVERSE CITY, MI 49686-3310
(231) 941-3100
(231) 922-0382
Mailing address
1650 BARLOW STREET, SUITE 11, TRAVERSE CITY, MI 49686-3310
(231) 941-3100
(231) 922-0382

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5201002105
MI

Other

Enumeration date
04/27/2007
Last updated
07/08/2007
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