Basic Information
| Provider Information | |||||||||
| NPI: | 1689332546 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THE HAND THERAPY SPECIALIST | ||||||||
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| Mailing Information | |||||||||
| Address1: | 240 WESTGATE DR STE 232 | ||||||||
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| City: | WATSONVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 950762453 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8315318277 | ||||||||
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| Practice Location | |||||||||
| Address1: | 240 WESTGATE DR STE 232 | ||||||||
| Address2: | |||||||||
| City: | WATSONVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 950762453 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8315318277 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/07/2021 | ||||||||
| LastUpdateDate: | 12/07/2021 | ||||||||
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| AuthorizedOfficialLastName: | SAMSON | ||||||||
| AuthorizedOfficialFirstName: | JO | ||||||||
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| AuthorizedOfficialTitleorPosition: | FOUNDER | ||||||||
| AuthorizedOfficialTelephone: | 7075994074 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | OT | ||||||||
| NPICertificationDate: | 12/07/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225XH1200X | Y | 193400000X SINGLE SPECIALTY GROUP | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Hand |
No ID Information.