Healthcare Provider Details

I. General information

NPI: 1811025695
Provider Name (Legal Business Name): SANTA MONICA HAND THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/01/2007
Last Update Date: 02/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 WILSHIRE BLVD SUITE 310
SANTA MONICA CA
90403-5641
US

IV. Provider business mailing address

2001 WILSHIRE BLVD SUITE 310
SANTA MONICA CA
90403-5641
US

V. Phone/Fax

Practice location:
  • Phone: 310-829-3320
  • Fax: 310-829-3305
Mailing address:
  • Phone: 310-829-3320
  • Fax: 310-829-3305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number2651
License Number StateCA

VIII. Authorized Official

Name: MRS. MARIA MONTERO ZECCHETTO
Title or Position: PRESIDENT
Credential: OTR
Phone: 310-829-3320