Healthcare Provider Details

I. General information

NPI: 1285728063
Provider Name (Legal Business Name): HEALING HANDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 01/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23586 CALABASAS ROAD SUITE 206
CALABASAS CA
91302
US

IV. Provider business mailing address

23586 CALABASAS ROAD STE 206
CALABASAS CA
91302-1330
US

V. Phone/Fax

Practice location:
  • Phone: 818-224-3837
  • Fax: 818-224-3847
Mailing address:
  • Phone: 818-224-3837
  • Fax: 818-224-3847

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number4803
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number9611000317
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: STACY V COOK
Title or Position: OWNER/OCCUPATIONAL THERAPIST
Credential: OTR/L, CHT
Phone: 818-224-3837