Your hour. Not shared.
No techs bouncing between rooms, no handoffs mid-visit. Just you and a Certified Hand Therapist, the whole time.
About Dynamic Arm & Hand Therapy
The clinic that treats the cause.
Most clinics manage your symptoms and call it a plan. We built this place to end them: one-on-one, with a Certified Hand Therapist, every single visit.
Our Story
This isn’t our story. It’s yours.
Andrew Peaker, MOTR/L, CHT, CFCE, CMOT, CEAS, Founder
Andrew Peaker is an Occupational Therapist and Certified Hand Therapist who built his career around the part of the body most clinics treat as an afterthought: the hand, wrist, elbow, and arm. It is precise, unforgiving work, and it is exactly where he wanted to be.
He opened Dynamic Arm & Hand Therapy for the cases other providers call complicated: the post-surgical hand that will not bend the way it should, the nerve pain nobody can explain, the work injury tangled up in a claim. Since 2016 he has performed Functional Capacity Evaluations known for being objective, thorough, and clearly explained.
Every plan starts the same way, with a hands-on evaluation and a straight answer instead of a guess. The people who do best here are the ones who fix things: their houses, their teams, their families. This is where they finally fix the thing they’ve been putting off: themselves.
“Your hands do everything. When they stop working, everything stops. My job is to give them back to you.”
What We Believe
Four things we’ll never compromise.
Cause first. Symptoms follow.
You’ve probably chased the pain itself before and never found why it started. We find the why, then the ache stops coming back.
Plans end. That’s the point.
You shouldn’t need a punch card. Every plan comes with a graduation date, so you always know how close you are.
You’re not a protocol.
Your job, your body, your goals: that’s what your plan is built around, never pulled from a generic sheet.
The Difference
Not your typical clinic.
A typical clinic
- You explain your pain to a different aide every visit
- Your hour gets split with two other patients
- The same pain creeps back in a few months
- No graduation date, just book again next week
Dynamic Arm & Hand Therapy
- One-on-one with a Certified Hand Therapist, every visit
- Your full hour, uninterrupted, every time
- A cause-first evaluation before we treat anything
- A plan with an endpoint, mapped out on day one
Feel the difference in your first visit.
Schedule AppointmentThe Team
The people behind your recovery.
Andrew Peaker
- MOTR/L
- CHT
- CFCE
- CMOT
- CEAS
Occupational Therapist and Certified Hand Therapist focused on the hand, wrist, elbow, and arm, with particular expertise in complex post-operative cases, persistent nerve pain, and work-related and legal cases. Performing Functional Capacity Evaluations since 2016.
Book with Andrew
Kiley Gomez
- Office Manager
Raised in the Vancouver area and a Western Washington University graduate, Kiley brings more than ten years in administrative healthcare. She is the one who makes complex insurance and scheduling simple, so you can focus on getting better.
Call the OfficeRooted in Vancouver
This is our neighborhood too.
We treat Vancouver: your neighbors, your teammates, your kids’ coaches. The mom who’s been pushing through it so nobody else has to worry? She’s probably on our schedule too. Recovery is a lot more personal when it’s local.
- Hazel Dell
- Salmon Creek
- Felida
- Minnehaha
- Orchards
- Battle Ground
5.0 · 19 local reviews
Book Your Visit
Ready when you are.
Request a time and a real person calls you back, usually within two business hours. No phone tree. No ‘someone will reach out.’ Just a plan.
- Hours Mon - Fri: 8am - 5pm
- (360) 309-0176 Prefer to talk now? Call us.
- Same-week appointments available
5.0 · 19 Google reviews
Typical response: under 2 business hours
Step 1 of 5
Request sent.
That’s the hard part done. We’ll call during business hours to lock in your time. Most people are on the schedule same week.
Visit Us
Care this good, this close.
Dynamic Arm & Hand Therapy
- 3205 NE 78th Street, Suite 102, Vancouver, WA 98665
- (360) 309-0176
- andrew@dynamichand.com
- Mon - Fri: 8am - 5pm