Organization Name: | EL CERRITO HAND THERAPY & ACUPUNCTURE REHAB. INC |
NPI Number: | 1164607404 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN CUPPLES (OWNER) |
Mailing Address: | 122 Camino Pablo Orinda |
State: | CA US |
Postal Code: | 945632203 |
Phone Number: | 5105252700 |
Fax Number: | 5105252716 |
NPI Enumeration Date: | 01/06/2008 |
NPI Last Update Date: | 01/06/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 1031100046 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |