Provider Demographics
NPI:1215139902
Name:HAND THERAPY
Entity type:Organization
Organization Name:HAND THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HAND THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:818-884-4263
Mailing Address - Street 1:7325 MEDICAL CENTER DR STE 304
Mailing Address - Street 2:
Mailing Address - City:WEST HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91307-4115
Mailing Address - Country:US
Mailing Address - Phone:818-884-4263
Mailing Address - Fax:818-340-6805
Practice Address - Street 1:7325 MEDICAL CENTER DR STE 304
Practice Address - Street 2:
Practice Address - City:WEST HILLS
Practice Address - State:CA
Practice Address - Zip Code:91307-4115
Practice Address - Country:US
Practice Address - Phone:818-884-4263
Practice Address - Fax:818-340-6805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-04
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAN496544Medicare ID - Type Unspecified