Our Therapists

Janet opened her private practice in 1981 and celebrates 41 years in private practice, Hands On Hands Rehab Center, Inc,. She graduated in Occupational Therapy from USC in 1976. Her career goal and desire was to provide an environment where individuals suffering from severe upper extremity injuries could come and receive the best quality of care, with the highest level of skilled therapist, in a comfortable non-threatening atmosphere. Her dreams became reality when she opened Hands On Hands Rehabilitation Center, Inc. in Costa Mesa in 1985. She went on to open 3 additional clinical offices, Huntington Beach, Laguna Hills and Los Alamitos.  Janet is married and has one daughter, Nicole. Janet is a huge LA Kings Hockey fan enjoying season tickets directly behind her favorite goalie, Jonathon Quick.  She feels blessed with all that God has given her and with her success in business and at home. 

Janet Royal,OTR/L 

Registered Occupational Therapist licensed
Founder and Owner 
Hands On Hands Rehabilitation Center, Inc.

Scott joined Hands On Hands in 2007.  He is a co-owner of our Laguna Hills Office. He graduated in 2000 at New York Institute of Technology receiving his Bachelors of Science in Occupational Therapy. He practiced in New York at Hand and Upper Extremity Rehab. and became a Certified Hand Therapist in 2006 after completing an extensive amount of hands-on experience and educational training.  Scott loves to travel, enjoys skiing and to bike ride and fishing. We are truly blessed to have him as part of our family.


Scott Costello, OTR/L,CHT 

Registered Occupational Therapist Licensed,

Certified Hand Therapist
Co-Owner, Laguna Hills 


Jay Yeager, COTA/L

Certified Occupational Therapy Assistant
Vice President of Hands On Hands Rehab Center

Hands On Hands Vice President, Jay has been working in hands since 2001. He came to Hands On Hands Rehab in 2008.  He has been working hard to grow and run the business and keep us up to date with all the safety changes that came about in 2020.   Jay brings to Hands On Hands not only skills as an Certified Occupational Therapy Assistant, but provides his experience in Marketing and running our centers in Costa Mesa, Huntington Beach and Los Alamitos.  Jay graduated from Mount St. Mary's in 1992. He went on to complete his Bachelors of Science in Business Administration in 2001. He is multi-talented and a great addition to our group. Jay is a California native, a rare thing these days. He has two children and is a grandpa to a beautiful baby girl.  He enjoys spending time with his family as the supportive dad for his daughter, granddaughter and his son especially with soccer games and watching him play lacroste. Jay also enjoys the outdoors, camping, backpacking, hiking and fishing.


Meredith Vaughan, OTR/L, CHT

Registered Occupational Therapist Licensed
Certified Hand Therapist,

Costa Mesa Clinical Supervisor

Meredith has over 37 years experience working in hand therapy. She is our Costa Mesa Office supervising therapist. She graduated from USC in 1984. Meredith went on to become a Certified Hand Therapist in 1991.  In 2002 to continued and expand her knowledge, Meredith became Certified in Lymphedema Management. She joined us in 2008. Meredith is an exceptional hand therapist and a great addition to our group. She is the proud mother to twin adult girls and   with multiple grandchildren. Overjoyed and blessed does not describe her love in the role as grandma. Her hobbies include being a grandma, rubber stamping, walking, theater, musical instruments, and reflexology.


Amy joined Hands on Hands Rehab Center, Inc. 2021.   She is a graduate from Cal State Long Beach with a bachelors degree in Kinesiology and completing her Masters degree in Occupational Therapy  at Texas Tech University.   Amy  has enjoys baking, jigsaw puzzles, spear fishing, podcasting and visiting local breweries. She also enjoys going to live concerts

Amy Tippol,, MOT, OTR/L

Registered Occupational Therapist, Licensed

Costa Mesa Office


Tritia joined Hands on Hands Rehab Center, Inc. in 2019 and is now our primary therapist in our Huntington Beach office.  She is a graduate from St. Augustine with a Masters in Occupational Therapy.  Tritia loves going to rock concerts, going on walks/hikes with her dog, yoga, loves sewing, and enjoys binge-watching Netflix.


Lily has been with Hands On Hands Rehab Center since 2001. She graduated from Loma Linda University in 1998 with an Associates Degree in Occupational Therapy. Lily has an additional degree in Psychology which she received in 1993. Lily enjoy hiking, and exploring the pacific north west, cooking ethnic foods and keeping up with her college kids.  She is a huge LA Kings fan as well as the Dallas Cowboys and the good ole Dodger Blue.

Tritia Herrera, MOT, OTR/L

Registered Occupational Therapist, Licensed

Huntington Beach Office 

Lily Jamison, COTA/L 

Certified Occupational Therapy Assistant 

Huntington Beach Office 


Patrick Willson, MS,OTR/L, CHT

Registered Occupational Therapist Licensed
Certified Hand Therapist,

Los Alamitos

Patrick joined Hands On Hands in the crazy year of 2020.  He has turned out to be a great addition to our family.  Patrick received his Masters in Occupational Therapy from CSUDH in 2014 and went on to get his CHT in 2018.  He is as he calls himself an ex-professional musician on the drums, guitar, bass and piano.  We haven't had a concert yet but we hope to get a little taste of his past.  He is a yogi, loves dogs and a horror movie aficionado!


Mary Ann joined our Hands on Hands family in June 2018.  She got her B.S in Kinesiology with a focus in Gerokinesiology from CSU Fullerton. Mary Ann worked as an Activities Director for assisted living and memory care for 6 years before pursuing a degree as an Certified Occupational Therapy Assistant at Stanbridge University. She continues to pursue her education and is working to become a Registered Occupational Therapist which should be a breeze as she is so knowledgable in the field already.   Mary Ann is interested in learning sign language and Spanish. We couldn't be happier having her as part of our growing family.   When the weather is fair she enjoy fishing and watching baseball. 

Mary Ann Watson, COTA/L

Certified  Occupational Therapy Assistant

Costa Mesa and Los Alamitos Offices


Ilene joined Hands On Hands in 2021 and is primarily in our Huntington Beach Office.  She got her MSOT in 2018 at the University of Scranton, PA.  She is married and has a goldendoodle pup named Tahoe.  Ilene enjoys hiking, biking, swimming, traveling, cooking and crafts.  We are lucky to have her in our family with her skills as an Occupational Therapist.


Annie came on board with Hands On Hands Rehab Center in 2021.  She is a graduate from Stanbridge University in Occupational Therapy.  She also received a certificate in Adapative  and Inclusive Trainer (AIT).  Annie has a BFA degree in Graphic Design which she has enjoyed in the last 8 years.  Her interest include CrossFit, Hiking, Museums, going to Disneyland and of course loves Dogs (who doesn't?)

Ilene Umansky, MS, OTR/L
Registered Occupational Therapist, Licensed
Costa Mesa and 
Huntington Beach Offices

Annie Yao, MSOT, OTR/L

Registered Occupational Therapist, Licensed

Los Alamitos and Huntington Beach Offices

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Raquel is a Occupational Therapist who received her MA at USC in 2021. She is perusing her OTD and will complete it in 2022.  She joined Hands On Hands Rehab Center, Laguna Hills in 2022.  Raquel is married with a her family consisting of a Chiweenie puppy and 9 Birds.   She enjoys going to Disneyland, attending concerts photography, trying new foods, watching  movies and of course spending time with her playful family


Leah came to Hands on Hands in 2022 joining the Laguna Hills office.  She got her master's in Occupational Therapy in 2018 from St. Augustine.  Leah has a niece who she loves to spend time with and a Labradoodle, Stella the love of her life.  Her interests include reading, cooking, gardening and stand up paddleboarding

Raquel Morrill, OTR/L
Registered Occupational Therapist
Laguna Hills Office

Leah Woodside, MOT, OTR/L
Registered Occupational Therapist Licensed
Laguna Hills Office


Rushin joined Hands On Hands in 2022.  She has a BS in Health Science and Community Health Education in 2016 and then went on to get her MS in Occupational Therapy in 2020. Rushin has worked in the past with pediatrics as well as worked closely with Physical Therapists as an aide prior to pursuing her degree in OT.  She has had a passion for working in the healthcare field for some time.  Her family lives close by in Orange County  including her younger brother who she is very close to.  Rushin loves crafting, ceramics, crochet, cooking, gardening and Sci Fi movies.


Joanne became part of our family in 2022.  She got her master's in occupational therapy in 2019 at CSUDH.  Previously she worked in pediatrics and decided that she wanted to work more with adults and young people with upper extremity injuries. She had the opportunity to work closely with one of her professors as a research assistant.  Joanne is married and loves going to Disneyland (who doesn't?), being outdoors, hiking and traveling.

Rushin Khatibi, MS, OTR/L
Registered Occupational Therapist
Huntington Beach and Costa Mesa Offices

Joanne Kwak, MS, OTR/L
Registered Occupational Therapist Licensed
Los Alamitos Office

Our Office Staff

Maria joined Hands On Hands August 2012 to become our Costa Mesa Administrator. She went to ConCorde Career College in 1994 where she received her training as a Medical Assistant.  She is a mother of two girls and one son and a proud grandma.  She is a busy mom with her kids activities and schools events.  When she's not at work Maria enjoys shopping, reading and has been volunteering with Girl Scouts of Orange County since 2006 and Illuminating Foundation (Health Fairs for the Homeless) since 2008.   Maria obviously has a huge heart for helping others. 

Maria Iglesias

Office Billing and Management 


Ana joined us in 2017.  After we tried for a few years to get Ana to join HOH, our worlds finally united.  Ana received her MA in Medical Assistant from Ritchey Center R.O.P. in 2007. She comes with a great deal of experience working in both the front and back offices.   Ana is married and has two children.  She enjoys drawing in her free time as well as shopping, walking and just enjoying the outdoors and breathing in the fresh air.  We couldn't be happier to have Ana as a part of our family.

Luisana (Ana) Manzo

Front office Administrator

Costa Mesa Office


Naoko "Nikki" began as a volunteer at Hands On Hands in 2008. We enjoyed her so much and appreciated her hard work that we offered her a position with us to help in both of our Costa Mesa and Huntington Beach offices and on the rehab floor helping the therapists. She is now our Huntington Beach office administrator.  Nikki received her Bachelor of Social Work in May 1998. She enjoys sports including volleyball, tennis, hiking and running. In 2010 Naoko ran in the New York Marathon and competed it in record time to receive the Marathon Medal.  

Naoko Iso

Front office Administrator

Huntington Beach Office


Amy joined Hands on Hands Rehab Center in 2022.  We are excited to have her as part of our family, and managing our front office in Los Alamitos.  She jumped right in and shows her quick learning and capabilities.  Amy has a son who keeps her busy along with her love exploring new places, spending time with friends and families and watching shows and movies.  

Amy Tran
Front Office Administrator
Los Alamitos Office



Andrea Estrada is Laguna Hills Office new addition. She is the front office brains and keeps Scott organized.  She has been doing the hard stuff, interacting with all the different insurance and coordinating the schedules since 1986.  She joined Hands On Hands Rehab Center, Laguna Hills in 2022.   She is married with 3 boys and 1 girl and one dog named McLovin.  She is into Organic Vegetables gardening, Music, Skin and Hair Care.  She also loves creative writing.  

Andrea Estrada
Front Office Administrator
Laguna Hills