Organization
HAND THERAPY OF FRESNO, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH KISHIHARA OTR/CHT (PRESIDENT)
(559) 960-5764
Entity
Organization
Contact information
Practice address
7120 N WHITNEY AVE, SUITE 102, FRESNO, CA 93720-0153
(559) 323-4831
(559) 323-4815
Mailing address
47900 WILLOW POND RD, COARSEGOLD, CA 93614-8720
(559) 683-5460
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
OT3029
CA
261QR0400X
Rehabilitation Clinic/Center
Primary
OT3030
CA
Other
Enumeration date
08/15/2012
Last updated
10/04/2012
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