Individual
ANNETTE HATALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
17541 PRESCOTT LANE, HUNTINGTON BEACH, CA 92647
(714) 842-2504
Mailing address
7071 WARNER AVE STE F-401, HUNTINGTON BEACH, CA 92647-5495
(714) 321-8915
(949) 215-4281
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT8896
CA
225XP0019X
Physical Rehabilitation Occupational Therapist
OT8896
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT8896
LICENSE
CA
Enumeration date
03/26/2007
Last updated
08/27/2019
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