Organization
HAND THERAPY SPECIALIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL C MENDIOLA OTR/L, C,H.T. (OWNER)
(360) 923-5840
Entity
Organization
Contact information
Practice address
3435 MARTIN WAY E STE C, OLYMPIA, WA 98506-5071
(360) 923-5840
(360) 459-4836
Mailing address
417 W MAIN ST STE B, CENTRALIA, WA 98531-4263
(360) 807-0630
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
OT00000867
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7681877
—
WA
Enumeration date
12/31/2007
Last updated
12/31/2007
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