Healthcare Provider Details

I. General information

NPI: 1821136953
Provider Name (Legal Business Name): HELPING HANDS THERAPY AND LEARNING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 04/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 GALLI DR #100-A
NOVATO CA
94949-5714
US

IV. Provider business mailing address

14 GALLI DR #100-A
NOVATO CA
94949-5714
US

V. Phone/Fax

Practice location:
  • Phone: 415-884-9101
  • Fax: 415-884-9101
Mailing address:
  • Phone: 415-884-9101
  • Fax: 415-884-9101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number6499
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: SHARON LYNN BERTRAND
Title or Position: OCCUPATIONAL THERAPIST OWNER
Credential: OTR L
Phone: 415-884-9101