Individual
WHITLEY HATCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
504 N MAIN ST, CEDARTOWN, GA 30125-2302
(706) 204-9112
Mailing address
365 S INDUSTRIAL BLVD, CALHOUN, GA 30701-3075
(706) 624-3000
(706) 624-3001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005669
GA
225XP0200X
Pediatric Occupational Therapist
OT005669
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003133712A
—
GA
Enumeration date
05/07/2013
Last updated
01/10/2025
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