Certified Hand Therapist (CHT)

Certified Hand Therapist (CHT) is a designation denoting the highest level of training and education in Hand Rehabilitation and only a few are in Berks County.

Here at Hands-On Physical Therapy, we are lucky enough to have one with over 30 years experience so you can be sure that your rehab experience is of the highest caliber.

We also do custom splinting with input from your physician or surgeon.


Annette Bixler, OTR/L, CHT

Annette is a Certified Hand Therapist practicing Occupational Therapy since 1979. As a graduate of Elizabethtown College, she has been specializing in hand therapy for 38 years. In 1991, she became a Certified Hand Therapist, a voluntary examination demonstrating advanced competency.

The CHT credential is recognized by many professional organizations as a benchmark for excellence in advanced credentialing in healthcare.

Annette has met the requirements for recertification every 5 years since 1991 through continuing education to ensure the highest standard of care for our patients. Special areas of interest include complex trauma to the elbow, wrist, and hand as well as custom splinting to maximize recovery.

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