Provider Demographics
NPI:1538174925
Name:HANDS ON REHAB, INC.
Entity type:Organization
Organization Name:HANDS ON REHAB, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:JUDD
Authorized Official - Last Name:BORGQUIST
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:714-847-8751
Mailing Address - Street 1:7921 PROFESSIONAL CIR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-1901
Mailing Address - Country:US
Mailing Address - Phone:714-847-8751
Mailing Address - Fax:714-847-8913
Practice Address - Street 1:7921 PROFESSIONAL CIR
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-1901
Practice Address - Country:US
Practice Address - Phone:714-847-8751
Practice Address - Fax:714-847-8913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-31
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ651202OtherBLUE SHIELD (OT)
CAW18114OtherPTAN
CAZZZ074192OtherBLUE SHIELD (PT)