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General NPI Number Information
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NPI Number | 1972502300
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Entity Type | Organization
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Legal Business Name | HAND TO SHOULDER REHAB, INC.
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Dates
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Enumeration Date | 07/18/2005
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Last Update Date | 11/28/2007
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Provider Practice Location Address
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Address Line | 7005 N MAPLE AVE SUITE 104
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City | FRESNO
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State | CA
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Zip | 93720-8009
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Country | US
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Telephone | 559-325-3503
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Fax | 559-325-3504
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Provider Business Mailing Address
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Address Line | 7005 N MAPLE AVE SUITE 104
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City | FRESNO
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State | CA
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Zip | 93720-8009
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Country | US
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Telephone | 559-325-3503
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Fax | 559-325-3504
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Authorized Official
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Title or Position | CEO / PRESIDENT
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Name | MRS. KAREN LINDSAY PIMENTEL
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Credential | OTR/L,CHT,CWCE,CEAS
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Telephone | 559-325-3503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XE1200X
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Taxonomy Name | Ergonomics Occupational Therapist
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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 | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 1011100174
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT397
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License Number State | CA
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