Individual
DAVID HATAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3717 MT DIABLO BLVD, SUITE 100, LAFAYETTE, CA 94549-3588
(925) 284-5300
(925) 284-5381
Mailing address
PO BOX 1298, LAFAYETTE, CA 94549-1298
(925) 284-5300
(925) 284-5381
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT18801
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT18801
PHYSICAL THERAPY LICENSE
CA
Enumeration date
09/26/2006
Last updated
12/14/2013
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