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General NPI Number Information
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NPI Number | 1184188914
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Entity Type | Organization
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Legal Business Name | ANGEL HANDS THERAPY SERVICES INC.
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Dates
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Enumeration Date | 01/25/2019
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Last Update Date | 04/05/2019
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Provider Practice Location Address
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Address Line | 1601 E COLTON AVE
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City | REDLANDS
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State | CA
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Zip | 92374-3932
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Country | US
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Telephone | 407-803-3314
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Fax |
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Provider Business Mailing Address
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Address Line | 1902 ORANGE TREE LN STE 100
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City | REDLANDS
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State | CA
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Zip | 92374-2800
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Country | US
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Telephone | 407-803-3314
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Fax |
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Authorized Official
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Title or Position | CEO/OCCUPATIONAL THERAPIST
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Name | MARSHA DAVIS
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Credential | COTA
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Telephone | 407-803-3314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 224ZL0004X
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Taxonomy Name | Low Vision Occupational Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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