Provider Demographics
NPI:1164672903
Name:OPEN HANDS THERAPY LLP
Entity Type:Organization
Organization Name:OPEN HANDS THERAPY LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:MANULETE
Authorized Official - Last Name:FELICIANO
Authorized Official - Suffix:III
Authorized Official - Credentials:PT
Authorized Official - Phone:760-918-0661
Mailing Address - Street 1:5576 FOXTAIL LOOP
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92010-7152
Mailing Address - Country:US
Mailing Address - Phone:551-221-2228
Mailing Address - Fax:760-994-1232
Practice Address - Street 1:5620 PASEO DEL NORTE
Practice Address - Street 2:#127C-130
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-4461
Practice Address - Country:US
Practice Address - Phone:551-221-2228
Practice Address - Fax:760-994-1232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOTA1138224Z00000X
CAPT20695225100000X
CAPT25676225100000X
225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty