Provider Demographics
NPI:1689948838
Name:MONTEREY HAND THERAPY
Entity Type:Organization
Organization Name:MONTEREY HAND THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YURIKO
Authorized Official - Middle Name:
Authorized Official - Last Name:WONG
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L, CHT
Authorized Official - Phone:831-655-3621
Mailing Address - Street 1:P.O BOX 4045
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93942-4045
Mailing Address - Country:US
Mailing Address - Phone:831-655-3621
Mailing Address - Fax:831-655-3623
Practice Address - Street 1:871 CASS STREET
Practice Address - Street 2:SUITE 210
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2917
Practice Address - Country:US
Practice Address - Phone:831-655-3621
Practice Address - Fax:831-655-3623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT241261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ26583ZMedicare PIN