Provider Demographics
NPI:1154537421
Name:MERIDIAN HAND THERAPY INC
Entity type:Organization
Organization Name:MERIDIAN HAND THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRY
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:805-449-1125
Mailing Address - Street 1:550 SAINT CHARLES DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-3951
Mailing Address - Country:US
Mailing Address - Phone:805-449-1125
Mailing Address - Fax:805-449-4113
Practice Address - Street 1:550 SAINT CHARLES DR
Practice Address - Street 2:SUITE 100
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-3951
Practice Address - Country:US
Practice Address - Phone:805-449-1125
Practice Address - Fax:805-449-4113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWOT707AMedicare ID - Type UnspecifiedLISA BARRY MEDICARE #
CAWOT 7998AMedicare ID - Type UnspecifiedSARA TCHOBANOFF MEDICARE
CA5515690001Medicare NSC
CAW19202Medicare ID - Type UnspecifiedMERIDIAN MEDICARE #