Baseball Pitcher

Virtual Hand to Shoulder Institute, LLC  


Mission Statement

To provide high-quality, accessible, evidence-based hand therapy services via a cost-effective, convenient, and innovative approach.

Telerehabilitation services are available in NJ, DE, DC, NY, and select areas in PA.



1. Provide access to specialized care for people living remotely, who need care at home or at work, or who simply prefer the convenience and quality of care delivered through telerehabilitation.

2. Provide patient education & consultation on related healthcare needs and options.


3. Provide consultation services to therapists,  agencies, or organizations who are in need of the expertise of a certified hand therapist to effectively deliver care and/or train their staff.


Bridging Access, Innovation, & Education

What We Specialize In









Virtual Hand to Shoulder Institute, LLC

Bridging Access, Innovation & Education

"I had lost all movement in my wrist and fingers after my accident and subsequent surgeries. Not only did Mirella help me regain motion, her expertise and knowledgeable answers to my many questions comforted me during the process. I couldn't have asked for a better person to assist me through one of the hardest moments of my life. I highly recommend Mirella to anyone looking for rehabilitation."

Max K.

Mirella has a great capacity to educate a wide variety of learners, which I have witnessed first hand with others in the fellowship. She led a research project that has since been published in the Journal of Hand Therapy, which sought

to reflect upon the impact of coaching patients to be active participants in their therapy.

- Christine Estelle, OTD, OTR/L,CHT, CLT

"...the other fellows and myself were given the opportunity to develop a Webinar for ASHT. With Mirella’s help, we prepared and presented a Webinar on joint mobilizations, titled “Joint Mobilizations: Facilitating Motion of the Forearm, Wrist and Digits”.  During months of preparation, Mirella ensured that we were proficient in the subject and that we felt confident presenting it to others.  I felt that this was an achievement given that the three of us had not presented a Webinar previously, and we had been novices to the topic." ​

Heather Daily, MOT, OTR/L, CHT

The Healthy Hand to Shoulder Feed