Healthcare Provider Details

I. General information

NPI: 1548855927
Provider Name (Legal Business Name): CALIFORNIA HAND REHABILITATION AND WELLNESS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2021
Last Update Date: 03/07/2021
Certification Date: 03/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3273 CLAREMONT WAY STE 204
NAPA CA
94558-3329
US

IV. Provider business mailing address

3273 CLAREMONT WAY STE 204
NAPA CA
94558-3329
US

V. Phone/Fax

Practice location:
  • Phone: 707-259-1152
  • Fax: 707-259-1361
Mailing address:
  • Phone: 707-259-1152
  • Fax: 707-259-1361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MARY ANN MARTINEZ
Title or Position: PRESIDENT
Credential: OTR/L, CHT
Phone: 707-259-1152