Provider Demographics
NPI:1346332376
Name:ARM AND HAND REHAB
Entity Type:Organization
Organization Name:ARM AND HAND REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:OTD,OTR/L, HTC, PAM
Authorized Official - Phone:530-621-1149
Mailing Address - Street 1:6692 MERCHANDISE WAY
Mailing Address - Street 2:SUITE C
Mailing Address - City:DIAMOND SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:95619-9453
Mailing Address - Country:US
Mailing Address - Phone:530-621-1149
Mailing Address - Fax:530-626-3049
Practice Address - Street 1:6692 MERCHANDISE WAY STE C
Practice Address - Street 2:
Practice Address - City:DIAMOND SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:95619-9453
Practice Address - Country:US
Practice Address - Phone:530-621-1149
Practice Address - Fax:530-626-3049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-28
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA776225X00000X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6623800001Medicare NSC
CAZZZ26630ZMedicare PIN