Provider Demographics
NPI:1063242576
Name:HAND THERAPY CAPITOLA
Entity type:Organization
Organization Name:HAND THERAPY CAPITOLA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KERRI
Authorized Official - Middle Name:J
Authorized Official - Last Name:COLBERT
Authorized Official - Suffix:
Authorized Official - Credentials:OTL
Authorized Official - Phone:831-234-5904
Mailing Address - Street 1:650 TABOR DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95066-2843
Mailing Address - Country:US
Mailing Address - Phone:831-234-5904
Mailing Address - Fax:831-480-1321
Practice Address - Street 1:1715 42ND AVE
Practice Address - Street 2:
Practice Address - City:CAPITOLA
Practice Address - State:CA
Practice Address - Zip Code:95010-3535
Practice Address - Country:US
Practice Address - Phone:831-234-5904
Practice Address - Fax:831-480-1321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-07
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty