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Contact Information

JEANETTE L SHATTUCK, OTR L
4772 KATELLA AVE STE 100
LOS ALAMITOS, CA90720-2681
 Phone: 562-430-8700
 Fax: 562-430-8760
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
 

Ergonomics

225XE1200X 67 Occupational Therapist in Private Practice
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Orthotics/Prosthetics Fitter

225000000X
Indicates primary specialty

NPI Profile & details for JEANETTE L SHATTUCK · (Female)

NPI Number 1003948928
Status Active
Credentials OTR L
Entity Individual
Enumeration date 03/09/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • CA License # AA358119
  • CA Other OT0048180 BLUE SHIELD PIN
  • CA Other 5481969 FIRST HEALTH ID
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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