Provider Demographics
NPI:1578855664
Name:SOLEIL HEALING HANDS THERAPY INC
Entity Type:Organization
Organization Name:SOLEIL HEALING HANDS THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:NOEMY
Authorized Official - Last Name:INDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-733-1954
Mailing Address - Street 1:2155 CAMINITO LEONZIO
Mailing Address - Street 2:SUITE 20
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91915-4169
Mailing Address - Country:US
Mailing Address - Phone:858-733-1954
Mailing Address - Fax:800-803-8147
Practice Address - Street 1:2155 CAMINITO LEONZIO
Practice Address - Street 2:SUITE 20
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91915-4169
Practice Address - Country:US
Practice Address - Phone:858-733-1954
Practice Address - Fax:800-803-8147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-06
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1138224Z00000X
CA30391225100000X
CA6195225X00000X
CA12322235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty