Organization
REDWOOD HAND THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA B EAKIN OTR/L, CHT (OWNER)
(707) 544-2637
Entity
Organization
Contact information
Practice address
320 TESCONI CIR, SUITE G, SANTA ROSA, CA 95401-4611
(707) 544-2637
(707) 544-2088
Mailing address
320 TESCONI CIR, SUITE G, SANTA ROSA, CA 95401-4611
(707) 544-2637
(707) 544-2088
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF7890
MEDICARE RAILROAD
CA
01
—
ZZZ00752Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
07/19/2005
Last updated
06/09/2015
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