Organization
HEALING HANDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY V COOK OTR/L, CHT (OWNER/OCCUPATIONAL THERAPIST)
(818) 224-3837
Entity
Organization
Contact information
Practice address
23586 CALABASAS ROAD, SUITE 206, CALABASAS, CA 91302
(818) 224-3837
(818) 224-3847
Mailing address
23586 CALABASAS ROAD, STE 206, CALABASAS, CA 91302-1330
(818) 224-3837
(818) 224-3847
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
4803
CA
225XE1200X
Ergonomics Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
9611000317
CA
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5025730001
SUPPLIER ID
CA
01
—
7611630
AETNA PROVIDER ID
CA
01
—
GCT000600
MEDI-CAL PROVIDER NUMBER
CA
01
—
ZZZ09538Z
BLUE SHIELD GROUP PIN
CA
Enumeration date
10/03/2006
Last updated
01/18/2008
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