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Meet the Armworks Team

Treatment Philosophy

Our philosophy in treatment is to partner with our patients to help them thrive: giving them the tools they need to heal and return to functional activity at work and home. We offer a comprehensive program to address elbow, wrist and hand diagnoses by blending manual therapy, modalities and splinting to achieve excellent outcomes.

What is Certified Hand Therapy?

The Certified Hand Therapy credentialing demonstrates clinical excellence by requiring an occupational or physical therapist to have 5 years of clinical experience, over 4000 hours of experience in providing hand therapy and pass a rigorous examination. This blend of knowledge and clinical skill with elbow, wrist and hand injuries sets us apart from other area providers.

  • Ryan Glover, OTR/L, CHT
    Executive Director

    Ryan grew up in Roseburg, Oregon. He enjoys the hand therapy profession because of the complexity it presents, mainly in the anatomy…

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  • Max McKinney, DPT, CHT
    Clinic Leader Lake Oswego

    Max grew up in Olympia, Washington. During school he was very interested in the anatomy and biomechanics of the hand, and after a bad fall that resulted…

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  • Amy Ciatto, OTR/L, CHT

    Amy grew up in Dallas, Texas. She developed an interest in hand therapy while making splints and working the hands of medically fragile babies in the NICU…

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  • Ronald Taylor, OTD, OTR/L

    Ronnie grew up in Salt Lake City, Utah. He shifted gears from Occupational Therapy to focus specifically on Hand Therapy because he recognized how important our hands are for daily…

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  • Kailey Castro, OTR/L

    Kailey grew up in Fond du Lac, Wisconsin. She loves the art and science of hand therapy because she gets to use her creative side…

    View Profile
  • Kurt Schneider, OTR/L

    Kurt grew up in Salt Lake City, Utah. He became interested in hand therapy during his graduate program where he learned how to make splints and saw the complexity of the hand…

    View Profile
  • Pia Guevarra, OTR/L

    I grew up in Los Angeles, CA but left after college and have lived in 6 different cities since. My first rotation in OT school was in an outpatient hand therapy clinic.

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  • Brandon Poundstone, DPT

    Brandon grew up in Gresham, OR and completed his undergraduate degree at Oregon State University. Brandon then moved to San Diego, CA to attend PT school…

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  • Melanie Serpa, OT/L, CHT
    Director of Development

    Melanie grew up in Pocatello, Idaho. She decided to specialize in hand therapy because she loves the complexity of the elbow…

    View Profile
  • Alexandria Cismesia
    OTD, OTR/L, CLT, CHT
    Clinic Leader Beaverton

    Lexi grew up in Lombard, Illinois (suburb or Chicago). After making her first orthosis in school, Lexi was hooked and knew hand therapy…

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  • Anne Spiliotis, OTR/L, CHT

    Anne was born in San Francisco, California, and grew up in one of its suburbs, Daly City. In 1992, after practicing as an…

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  • Deborah Thomas, COTA

    Debbie grew up in Phoenix, Arizona. She moved to Portland in 2008 after vacationing here often. Debbie loves the distinct Oregon seasons and living within a short distance…

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  • Ross Hubbard, OTR/L, CHT

    Ross grew up outside of New Orleans, LA. He developed an interest in hand therapy because he likes to problem solve…

    View Profile
  • Tiffany Patterson, OTR/L

    Tiffany grew up in Vancouver, WA. She became interested in hand therapy after shadowing a hand therapist and became further interested after splinting …

    View Profile
  • Sam Shepherd, OTR/L

    I grew up on the island of Maui, Hawai’i till my teenage years when my family moved to Silverton, Oregon. Hand therapy was always a practice area of Occupational…

    View Profile
  • Ryan Glover, OTR/L, CHT
    Executive Director

    Ryan grew up in Roseburg, Oregon. He enjoys the hand therapy profession because of the complexity it presents, mainly in the anatomy…

    View Profile
  • Melanie Serpa, OT/L, CHT
    Director of Development

    Melanie grew up in Pocatello, Idaho. She decided to specialize in hand therapy because she loves the complexity of the elbow…

    View Profile
  • Max McKinney, DPT, CHT
    Clinic Leader Lake Oswego

    Max grew up in Olympia, Washington. During school he was very interested in the anatomy and biomechanics of the hand, and after a bad fall that resulted…

    View Profile
  • Alexandria Cismesia
    OTD, OTR/L, CLT, CHT
    Clinic Leader Beaverton

    Lexi grew up in Lombard, Illinois (suburb or Chicago). After making her first orthosis in school, Lexi was hooked and knew hand therapy…

    View Profile
  • Amy Ciatto, OTR/L, CHT

    Amy grew up in Dallas, Texas. She developed an interest in hand therapy while making splints and working the hands of medically fragile babies in the NICU…

    View Profile
  • Anne Spiliotis, OTR/L, CHT

    Anne was born in San Francisco, California, and grew up in one of its suburbs, Daly City. In 1992, after practicing as an…

    View Profile
  • Ronald Taylor, OTD, OTR/L

    Ronnie grew up in Salt Lake City, Utah. He shifted gears from Occupational Therapy to focus specifically on Hand Therapy because he recognized how important our hands are for daily…

    View Profile
  • Deborah Thomas, COTA

    Debbie grew up in Phoenix, Arizona. She moved to Portland in 2008 after vacationing here often. Debbie loves the distinct Oregon seasons and living within a short distance…

    View Profile
  • Kailey Castro, OTR/L

    Kailey grew up in Fond du Lac, Wisconsin. She loves the art and science of hand therapy because she gets to use her creative side…

    View Profile
  • Ross Hubbard, OTR/L, CHT

    Ross grew up outside of New Orleans, LA. He developed an interest in hand therapy because he likes to problem solve…

    View Profile
  • Kurt Schneider, OTR/L

    Kurt grew up in Salt Lake City, Utah. He became interested in hand therapy during his graduate program where he learned how to make splints and saw the complexity of the hand…

    View Profile
  • Tiffany Patterson, OTR/L

    Tiffany grew up in Vancouver, WA. She became interested in hand therapy after shadowing a hand therapist and became further interested after splinting …

    View Profile
  • Pia Guevarra, OTR/L

    I grew up in Los Angeles, CA but left after college and have lived in 6 different cities since. My first rotation in OT school was in an outpatient hand therapy clinic.

    View Profile
  • Sam Shepherd, OTR/L

    I grew up on the island of Maui, Hawai’i till my teenage years when my family moved to Silverton, Oregon. Hand therapy was always a practice area of Occupational…

    View Profile
  • Brandon Poundstone, DPT

    Brandon grew up in Gresham, OR and completed his undergraduate degree at Oregon State University. Brandon then moved to San Diego, CA to attend PT school…

    View Profile