Provider Demographics
NPI:1063463610
Name:HAJIC, MARGARET J (OTR/L, CHT)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:J
Last Name:HAJIC
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:MARJI - NICKNAME
Other - Middle Name:
Other - Last Name:GOFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2824 CLINTON TER
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3737
Mailing Address - Country:US
Mailing Address - Phone:805-570-7071
Mailing Address - Fax:805-682-3035
Practice Address - Street 1:2323 DE LA VINA ST STE 106
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3878
Practice Address - Country:US
Practice Address - Phone:805-682-3055
Practice Address - Fax:805-682-3035
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2014-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT3090225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
AT669ZMedicare PIN