Healthcare Provider Details

I. General information

NPI: 1679625594
Provider Name (Legal Business Name): WESTSIDE HAND THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 12/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9400 BRIGHTON WAY STE #301
BEVERLY HILLS CA
90210-4714
US

IV. Provider business mailing address

9400 BRIGHTON WAY STE #301
BEVERLY HILLS CA
90210-4714
US

V. Phone/Fax

Practice location:
  • Phone: 310-396-8564
  • Fax: 310-396-0052
Mailing address:
  • Phone: 310-396-8564
  • Fax: 310-396-0052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberOT4666
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOT4666
License Number StateCA

VIII. Authorized Official

Name: ARLENE HURWITZ
Title or Position: OWNER
Credential: MHS OTRL CHT
Phone: 310-396-8564