Provider Demographics
NPI:1194858993
Name:HATCHER, BETSY A (OT)
Entity Type:Individual
Prefix:MRS
First Name:BETSY
Middle Name:A
Last Name:HATCHER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42258 BLACK ROCK TER
Mailing Address - Street 2:
Mailing Address - City:STONE RIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:20105-2967
Mailing Address - Country:US
Mailing Address - Phone:703-302-9970
Mailing Address - Fax:
Practice Address - Street 1:42258 BLACK ROCK TER
Practice Address - Street 2:
Practice Address - City:STONE RIDGE
Practice Address - State:VA
Practice Address - Zip Code:20105-2967
Practice Address - Country:US
Practice Address - Phone:703-302-9970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2013-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119005665225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist