Provider Demographics
NPI:1962873513
Name:SACRAMENTO HAND REHABILITATION INC
Entity type:Organization
Organization Name:SACRAMENTO HAND REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:R
Authorized Official - Last Name:GAEBLER
Authorized Official - Suffix:
Authorized Official - Credentials:CHT
Authorized Official - Phone:916-203-0137
Mailing Address - Street 1:1201 ALHAMBRA BLVD
Mailing Address - Street 2:410
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-5238
Mailing Address - Country:US
Mailing Address - Phone:916-457-4263
Mailing Address - Fax:916-457-4213
Practice Address - Street 1:1201 ALHAMBRA BLVD
Practice Address - Street 2:410
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-5238
Practice Address - Country:US
Practice Address - Phone:916-457-4263
Practice Address - Fax:916-457-4213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9511000017225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty