Provider Demographics
NPI:1780956011
Name:HATCH, CHRISTINE MARIE (COTA)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:MARIE
Last Name:HATCH
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:161 COUNTY RD
Mailing Address - Street 2:
Mailing Address - City:PLYMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:02367-1415
Mailing Address - Country:US
Mailing Address - Phone:781-679-2230
Mailing Address - Fax:
Practice Address - Street 1:161 COUNTY RD
Practice Address - Street 2:
Practice Address - City:PLYMPTON
Practice Address - State:MA
Practice Address - Zip Code:02367-1415
Practice Address - Country:US
Practice Address - Phone:781-679-2230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3323224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant