Organization
HIGHER REACHING HANDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TREVOR MICHAEL STEGEN OTA/L (DIRECTOR OF REHABILITATION)
(626) 221-2426
Entity
Organization
Contact information
Practice address
13680 WILMOT ST, MORENO VALLEY, CA 92555
(626) 221-2426
(951) 602-6921
Mailing address
13680 WILMOT ST, MORENO VALLEY, CA 92555-8235
(626) 221-2426
(951) 602-6921
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3096
CBOT - CALIFORNIA BOARD OF OCCUPATIONAL THERAPY
CA
Enumeration date
04/04/2019
Last updated
11/11/2019
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