Organization Name: | CULLINEN HAND THERAPY |
NPI Number: | 1285848135 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDI CULLINEN (OWNER THERAPIST) |
Mailing Address: | 7950 Redwood Dr Suite 13 Cotati |
State: | CA US |
Postal Code: | 949313051 |
Phone Number: | 7077921370 |
Fax Number: | 7077921362 |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BC3200X |
License Number: | OT 509 CA |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Customized Equipment |
Taxonomy Definition: |