NPI Code Details Logo

NPI 1790224590

NPI 1790224590 : OT ARTS : SANTA BARBARA, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1790224590
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    OT ARTS 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/14/2017
-----------------------------------------------------
    Last Update Date     |    02/14/2017
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1900 STATE ST SUITE K
-----------------------------------------------------
    City                 |    SANTA BARBARA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93101-2429
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    805-450-5805
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    224 ENTRANCE RD UNIT 2
-----------------------------------------------------
    City                 |    GOLETA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93117-2777
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    805-450-5805
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |    MS. LISA  SERBY 
-----------------------------------------------------
    Credential           |    OTR/L
-----------------------------------------------------
    Telephone            |    805-450-5805
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    261QR0400X
-----------------------------------------------------
    Taxonomy Name        |    Rehabilitation Clinic/Center
-----------------------------------------------------
    License Number       |    OT6341
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    261Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Clinic/Center
-----------------------------------------------------
    License Number       |    OT6341
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.