Is your Hand Therapist Certified? Ask your physician for a referral to the Spokane Hand Therapy clinic with the advantage of experienced Certified Hand / Occupational Therapists (CHTs).‎ Our team of Certified Hand Therapists (CHTs) are the most experienced Spokane occupational therapists in the treatment of injuries and wounds of the hand, wrist, arm, elbow and shoulder. Each therapist has over 15 years of professional practice in providing caring expertise and excellent outcomes.