Healthcare Provider Details

I. General information

NPI: 1972502300
Provider Name (Legal Business Name): HAND TO SHOULDER REHAB, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2005
Last Update Date: 11/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7005 N MAPLE AVE SUITE 104
FRESNO CA
93720-8009
US

IV. Provider business mailing address

7005 N MAPLE AVE SUITE 104
FRESNO CA
93720-8009
US

V. Phone/Fax

Practice location:
  • Phone: 559-325-3503
  • Fax: 559-325-3504
Mailing address:
  • Phone: 559-325-3503
  • Fax: 559-325-3504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT397
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number1011100174
License Number StateCA

VIII. Authorized Official

Name: MRS. KAREN LINDSAY PIMENTEL
Title or Position: CEO / PRESIDENT
Credential: OTR/L,CHT,CWCE,CEAS
Phone: 559-325-3503