David C. Boutelle, PT, treats orthopedic and hand-therapy patients at Santee Physical Therapy & Hand Center, Suite A at 9830 Prospect Avenue in Santee's Woodside-Prospect corridor. The practice operates under NPI 1730138074 as part of Physical Therapy and Hand Centers, Inc., a multi-location organization with an additional Carlsbad facility, and employs Astym-certified clinicians for soft-tissue mobilization and scar-tissue remodeling alongside post-operative rehabilitation protocols that transition patients to maintenance fitness at facilities including Chuze Fitness on Town Center Parkway. Upper-extremity rehabilitation covers post-surgical tendon repair, carpal tunnel recovery, and trigger-finger mobilization using custom splinting and progressive resistance protocols. Musculoskeletal cases involving cervical or lumbar dysfunction coordinate with manual-therapy providers on Santee's Carlton Hills corridor, where Barker Chiropractic manages spinal alignment and joint mobilization. The hand-therapy program addresses flexor and extensor tendon repairs, Dupuytren's contracture release, and distal radius fracture rehabilitation through calibrated range-of-motion and grip-strength progressions.