Healthcare Provider Details

I. General information

NPI: 1437428315
Provider Name (Legal Business Name): HANDS IN MOTION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2011
Last Update Date: 12/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

970 PETIT AVE SUITE A
VENTURA CA
93004-2215
US

IV. Provider business mailing address

8941 SANTA MARGARITA RD
VENTURA CA
93004-3003
US

V. Phone/Fax

Practice location:
  • Phone: 805-647-8800
  • Fax: 805-647-8808
Mailing address:
  • Phone: 805-794-1849
  • Fax: 805-647-8808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOT5460
License Number StateCA

VIII. Authorized Official

Name: MS. KAREN ANN LUCKETT30-7004906
Title or Position: ADMINISTRATOR PARTNER
Credential: OTR CHT
Phone: 805-570-0306