Provider Demographics
NPI:1164607404
Name:EL CERRITO HAND THERAPY & ACUPUNCTURE REHAB. INC
Entity Type:Organization
Organization Name:EL CERRITO HAND THERAPY & ACUPUNCTURE REHAB. INC
Other - Org Name:ORINDA HAND THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CUPPLES
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:510-525-2700
Mailing Address - Street 1:6328 FAIRMOUNT AVE
Mailing Address - Street 2:STE 220
Mailing Address - City:EL CERRITO
Mailing Address - State:CA
Mailing Address - Zip Code:94530-3665
Mailing Address - Country:US
Mailing Address - Phone:510-525-2700
Mailing Address - Fax:510-525-2716
Practice Address - Street 1:122 CAMINO PABLO
Practice Address - Street 2:
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-2203
Practice Address - Country:US
Practice Address - Phone:510-525-2700
Practice Address - Fax:510-525-2716
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EL CERRITO HAND THERAPY & ACUPUNCTURE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-06
Last Update Date:2008-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5076225X00000X
CA1031100046225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty