Organization
HAND THERAPY CENTER OF THE SOUTH BAY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN RIDDICK OTR/L, CHT (OWNER/DIRECTOR)
(310) 371-5151
Entity
Organization
Contact information
Practice address
19000 HAWTHORNE BLVD STE 230, TORRANCE, CA 90503-1517
(310) 371-5151
Mailing address
19000 HAWTHORNE BLVD, #230, TORRANCE, CA 90503-1517
(310) 371-5151
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT 2742
CA
225XE1200X
Ergonomics Occupational Therapist
OT 2742
CA
225XH1200X
Hand Occupational Therapist
Primary
OT 2742
CA
Other
Enumeration date
07/27/2010
Last updated
05/21/2013
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