Provider Demographics
NPI:1639659295
Name:ADVANCED HAND THERAPY, INC
Entity Type:Organization
Organization Name:ADVANCED HAND THERAPY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:THEODORE
Authorized Official - Middle Name:
Authorized Official - Last Name:FEHR
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:760-242-0500
Mailing Address - Street 1:18522 US HIGHWAY 18 STE 105
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-2321
Mailing Address - Country:US
Mailing Address - Phone:760-242-0500
Mailing Address - Fax:866-573-7938
Practice Address - Street 1:18522 US HIGHWAY 18 STE 105
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-2321
Practice Address - Country:US
Practice Address - Phone:760-242-0500
Practice Address - Fax:866-573-7938
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical RehabilitationGroup - Multi-Specialty