# STOCKTON HAND THERAPY & REHABILITATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Stockton Hand Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639181811
- **Authorized official:** MS. MARIANNE RENEE CABALLERO-RODRIGUEZ OT/L, CHT (PRESIDENT)
- **Authorized official phone:** (209) 956-8737

## Contact information

- **Practice address:** 1919 GRAND CANAL BLVD, SUITE C4, STOCKTON, CA 95207-8114
- **Practice address phone:** (209) 956-8737
- **Practice address fax:** (209) 956-2586
- **Mailing address:** 7824 SOUTHWORTH RD, VALLEY SPRINGS, CA 95252-8971
- **Mailing address phone:** (209) 956-8737
- **Mailing address fax:** (209) 956-2586

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225000000X | Orthotic Fitter | 2470 | CA | — |
| 225X00000X | Occupational Therapist | 2470 | CA | — |
| 225XH1200X | Hand Occupational Therapist | 2470 | CA | Yes |
| 225XN1300X | Neurorehabilitation Occupational Therapist | 2470 | CA | — |
| 335E00000X | Prosthetic/Orthotic Supplier | 2470 | CA | — |

## Other

- **Enumeration date:** 08/13/2006
- **Last updated:** 09/23/2009