Organization
HAND THERAPY SPECIALIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL C MENDIOLA OTR/L, CHT (OWNER)
(360) 923-5840
Entity
Organization
Contact information
Practice address
3621 ENSIGN RD NE STE B, OLYMPIA, WA 98506-5024
(360) 923-5840
(360) 459-4836
Mailing address
3621 ENSIGN RD NE STE B, OLYMPIA, WA 98506-5024
(360) 923-5840
(360) 459-4836
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT00000867
WA
174400000X
Specialist
OT00003444
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0137869
L&I GROUP NUMBER
WA
05
—
7681877
—
WA
Enumeration date
10/13/2006
Last updated
12/08/2010
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