Healthcare Provider Details

I. General information

NPI: 1740585009
Provider Name (Legal Business Name): CERTIFIED HAND SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2011
Last Update Date: 04/13/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5360 JACKSON DR SUITE 110
LA MESA CA
91942-6002
US

IV. Provider business mailing address

5360 JACKSON DR SUITE 106
LA MESA CA
91942-6002
US

V. Phone/Fax

Practice location:
  • Phone: 619-589-3788
  • Fax: 619-667-4315
Mailing address:
  • Phone: 619-589-3788
  • Fax: 619-667-4315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number32
License Number StateCA

VIII. Authorized Official

Name: MISS WENDY HILL
Title or Position: OCCUPATIONAL THERAPY/OWNER
Credential: OTL,CHT
Phone: 619-589-3788