Individual
MRS. LAURA HB HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTL
Contact information
Practice address
1339 20TH ST, SANTA MONICA, CA 90404-2033
(360) 441-4378
Mailing address
1339 20TH ST, SANTA MONICA, CA 90404-2033
(360) 441-4378
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
12409
CA
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12409
DEPT. OF HEALTH CA- OT LISENCE
CA
Enumeration date
08/10/2012
Last updated
08/10/2012
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