Healthcare Provider Details

I. General information

NPI: 1437260312
Provider Name (Legal Business Name): SANTA BARBARA HAND THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 12/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 STATE ST SUITE 208
SANTA BARBARA CA
93101-2430
US

IV. Provider business mailing address

1919 STATE ST SUITE 208
SANTA BARBARA CA
93101-2430
US

V. Phone/Fax

Practice location:
  • Phone: 805-563-5333
  • Fax: 805-563-5305
Mailing address:
  • Phone: 805-563-5333
  • Fax: 805-563-5305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number StateCA

VIII. Authorized Official

Name: JILLIAN MOON
Title or Position: OWNER
Credential: RPT, CHT
Phone: 805-563-5333