Jeanette Louise Shattuck
Occupational Therapist Orthotic Fitter Ergonomics Occupational Therapist - Hand
4772 Katella Ave Ste 100
Los Alamitos
, California 90720-2681
Jeanette Louise Shattuck
Occupational Therapist Orthotic Fitter Ergonomics Occupational Therapist - Hand
4772 Katella Ave Ste 100
Los Alamitos
, California 90720-2681
(562) 430-8760
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About
Features
Specialties
- Orthotic Fitter
- Occupational Therapist
- Ergonomics
- Occupational Therapist - Hand
Languages spoken
- English
Location
First Address
- Jeanette Louise Shattuck
- 4772 Katella Ave Ste 100
- Los Alamitos, CA
- Zip : 90720-2681
- Fax : (562) 430-8760
- Phone : (562) 430-8700
Second Address
- Jeanette Louise Shattuck
- 4772 Katella Ave Ste 100
- Los Alamitos, CA
- Zip : 90720-2681
- Fax : (562) 430-8760
- Phone : (562) 430-8700
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225000000X | Orthotic Fitter | AA358119 | CA |
| N | 225X00000X | Occupational Therapist | AA358119 | CA |
| N | 2251E1200X | Ergonomics | AA358119 | CA |
| N | 225XE1200X | Ergonomics | AA358119 | CA |
| N | 225XH1200X | Occupational Therapist - Hand | AA358119 | CA |
National Provider Identifier
| NPI | 1003948928 |
|---|---|
| Provider Name | Jeanette Louise Shattuck |
| First Address | Los Alamitos, CA 90720-2681 |
| Second Address | Los Alamitos, CA 90720-2681 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/03/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5481969 | FIRST HEALTH ID (01) | CA |
| OT0048180 | BLUE SHIELD PIN (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.