Organization
CALIFORNIA REHABILITATION & SPORTS THERAPY
Active
Organization
CALIFORNIA REHABILITATION & SPORTS THERAPY
Active
Other names
California Hand Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE LASSON (VICE PRESIDNET)
(408) 570-0510
Entity
Organization
Contact information
Practice address
17525 VENTURA BLVD, #205A, ENCINO, CA 91316-3843
(818) 377-4800
(818) 784-7002
Mailing address
200 NEWPORT CENTER DR, #213, NEWPORT BEACH, CA 92660-7501
(949) 644-1322
(949) 644-0316
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 1096
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ64486Z OT
BLUE SHIELD
CA
Enumeration date
05/17/2006
Last updated
02/22/2008
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