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Meet Our Team

Michelle Miles-Kessell


Michelle has been a licensed OT and Certified Hand Therapist for over 30 years now, and has more recently become Certified as an Ergonomic Assessment Specialist.

Being in the field and having over 35 years of experience, she has seen and treated patients with a variety of injuries/problems ranging from but not limited to traumatic and post-operative conditions, repetitive overuse problems and patients who have had neurological diagnoses. 

As a therapist her mission is to provide personalized, comprehensive, caring therapy services, and focuses on recovery of meaningful function and independence in collaboration with the referring physician and patient. 

As an Ergonomic Assessment Specialist, her goal is to bring awareness of the space you or your family do work in and help create a healthier, safer, less injury-prone environment. 

Sirenia Madrigal


Sirenia (Siri) Madrigal has been a Certified Occupational Therapy Assistant for 24 years now primarily focusing her career in hand rehabilitation. 


She enjoys helping people recover from injury, post operative care, finding solutions to provide functional independence in their daily lives whether it be at work, at home or at play.  


In her years of working and continuing her education, she is experienced in fabricating custom splints, fitting for prefabricated splints, CMMS casting, serial casting, Kinesiotaping, manual therapy, exercise/personal training and use of modalities to name a few.  She is also fluent in Spanish.


"I look forward to assisting you with the team of great therapists at Mission OT and Hand Therapy!" 


Brittany Everroad


Brittany Everroad, OTR/L received her bachelors from University of North Dakota in 2010. She then went on to receive her Master's in Occupational Therapy in 2018 from the University of St. Augustine. She has worked in upper extremity rehab since her graduation.  This has allowed her to earn the title Upper Extremity Specialist from California Board of Occupational Therapy as well as becoming a Certified Hand Therapist

She enjoys working one on one with patients in order to develop a course of treatment that is personalized for their needs and desired outcomes.

When not working she enjoys spending time with her husband, two little boys and 2 rambunctious dogs while enjoying all the outdoor activities that San Diego has to offer. 

Lisa Divona

Clinical Coordinator

Lisa Divona graduated from San Diego State University with her Bachelors degree in Kinesiology with an emphasis in Athletic Training. 

After graduation, she went on to work with a team of Occupational Therapist who specialized in hand therapy and upper extremity diagnoses. While working there, she gained experience working hands on with patients aiding in their rehabilitation journey. In addition, she aided in running the administrative side of both the front and back office where she handled scheduling, insurance verifications, handling correspondence between therapist and patient MD's, and other important administrative tasks. 

She is excited to be a part of this wonderful team at Mission OT and Hand Therapy and is looking forward to helping meet the needs of each person that comes for rehabilitative and/or ergonomic services. 

When she isn't working, she enjoys spending time outdoors and finding the next adventure to go on with her  beautiful family.

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