Provider Demographics
NPI:1982871166
Name:HEALING HANDS REHAB INC
Entity Type:Organization
Organization Name:HEALING HANDS REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL, CHT
Authorized Official - Phone:818-224-3837
Mailing Address - Street 1:23586 CALABASAS RD STE 206
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1330
Mailing Address - Country:US
Mailing Address - Phone:818-224-3837
Mailing Address - Fax:818-224-3847
Practice Address - Street 1:23586 CALABASAS RD STE 206
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1330
Practice Address - Country:US
Practice Address - Phone:818-224-3837
Practice Address - Fax:818-224-3847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-15
Last Update Date:2008-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA915259225000000X, 225XE1200X, 225XH1200X
CAPT221092251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic FitterGroup - Multi-Specialty
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
No225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomicsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAOT4803OtherCBOT LICENSE
CA91-5259OtherOT LICENSE