Individual
REBECCA CAMILLE HATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
401 N LINCOLN ST, EAST PRAIRIE, MO 63845-1113
(573) 931-5166
Mailing address
401 N LINCOLN ST, EAST PRAIRIE, MO 63845-1113
(573) 931-5166
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2018013044
MO
224Z00000X
Occupational Therapy Assistant
215172
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22
—
MO
Enumeration date
06/22/2018
Last updated
06/22/2018
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