Skagit Hand Therapy is the premier provider of Hand Therapy in Skagit County. We strive to provide the highest quality of Hand Therapy to our patients. 100% independently owned and operated. Founded by Donna Klein, who opened the clinic in 2018. We are currently staffed with 3 CHTs and 2 OTs that are well established in Skagit County and surrounding communities including Seattle. We work closely with primary care physicians and specialists in our region as well as from regional medical centers.

About US

Occupational Therapy

Restoring function, renewing life

Therapy Services

  • Hand/Upper Extremity Rehabilitation

  • Scar Management

  • Pre and Post Surgical Rehabilitation

  • Ergonomic Analysis

  • Desensitization/Sensory Re-education

  • Pediatric Hands

  • Upper Extremity Orthosis Fabrication

Please click each link below to complete new patient paperwork

In Loving Memory of our Founder Donna Klein OTR/L, CHT

Be the reason someone feels welcomed, valued, loved, seen, supported.

Meet Our Therapists

Abbey Mulder, OTR, CHT, MOT

Abbey is an accomplished and compassionate occupational therapist with 11 years of experience specializing in upper extremity rehabilitation. Her background spans multi-site clinic management, lead hand therapist, solo clinical practice, and collaboration within multidisciplinary healthcare teams.

Abbey’s therapeutic approach combines clinical expertise with compassion and humor, consistently achieving excellent patient outcomes by reducing pain and supporting efficient recovery. She emphasizes transparent communication and collaborative decision-making to create individualized treatment plans tailored to each patient’s unique needs.

As a leader, Abbey is dedicated to establishing efficient systems and frameworks that foster an environment of excellence in patient care for her team and clinic.

Committed to advancing hand therapy, Abbey actively participates in the DFW Hand Society, the Texas Society for Hand Therapy, and the American Society of Hand Therapists. She also mentors emerging therapists as a fieldwork educator and has served as an adjunct professor at Texas Woman’s University.

Inspired by her family’s personal experience with occupational therapy, Abbey is passionate about restoring function and enhancing quality of life. Outside of work, she enjoys spending time outdoors with her family and rescue dogs, reflecting her holistic approach to health and wellness.

My career began in Boston after graduating from the University of Washington. I love the Northwest and after 8 years returned to my roots in Seattle.  I achieved my Certification in Hand Therapy in 1997.  With over 25 years of experience in hand/upper extremity rehabilitation, I bring advanced training and compassion to my work.  I enjoy working with pre and post-surgical care, acute injuries, chronic injuries, arthritis and more.  I have training and experience in working with musicians.

In 2024 I joined the excellent team here at Skagit Hand Therapy. Skagit County is such beautiful spot in the PNW.  

It is important to me to provide individualized rehabilitation to optimize the client's function.  In a client-centered approach, it is vital to look beyond the injury to the person at the table and listen to what their needs and goals are.   

I love the outdoors, hiking, traveling, quilting, reading, music and exploring Skagit County.

Joanne Hughes OT/L, CHT

Robynn Oczkewicz OTR/L, CHT

I'm honored to be a clinician at Skagit Hand Therapy. I began my career in 2003 in work rehabilitation and ergonomics briefly before beginning my hand therapy professional career later that year. I served the Snohomish county community before finally making a permanent home in Skagit County. I have a passion for getting to know the individual functional needs of each patient. Outside of work, I enjoy exploring the outdoors with my husband and three boys as well as hanging out in my garden with my chickens.