Provider Demographics
NPI:1649828716
Name:ALL HANDS OT L.L.C
Entity type:Organization
Organization Name:ALL HANDS OT L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TALY
Authorized Official - Middle Name:
Authorized Official - Last Name:GALOR
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:858-281-8228
Mailing Address - Street 1:12648 CAMINITO DESTELLO
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-2811
Mailing Address - Country:US
Mailing Address - Phone:858-281-8228
Mailing Address - Fax:
Practice Address - Street 1:12648 CAMINITO DESTELLO
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-2811
Practice Address - Country:US
Practice Address - Phone:858-281-8228
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-30
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
No251E00000XAgenciesHome Health
No251K00000XAgenciesPublic Health or Welfare
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service