Organization
MONTANA REHABILITATION THERAPY
Active
Other names
california hand therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN MCKAY BOTTEN (CFO)
(805) 604-1924
Entity
Organization
Contact information
Practice address
3525 LOMA VISTA RD, SUITE D, VENTURA, CA 93003-3101
(805) 648-1340
(805) 648-6013
Mailing address
2001 SOLAR DR, SUITE 215, OXNARD, CA 93036-2645
(805) 604-1924
(805) 604-0176
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT3863
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ65339Z
BLUE SHIELD
CA
Enumeration date
02/12/2007
Last updated
08/22/2020
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