1184631889 NPI number — DYNAMIC REHAB HAND THERAPY, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184631889 NPI number — DYNAMIC REHAB HAND THERAPY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DYNAMIC REHAB HAND THERAPY, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184631889
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/17/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3303 S LINDSAY RD STE 116
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GILBERT
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85297-2100
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-782-9696
Provider Business Mailing Address Fax Number:
480-782-1760

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3303 S LINDSAY RD STE 116
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GILBERT
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85297-2100
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-782-9696
Provider Business Practice Location Address Fax Number:
480-782-1760
Provider Enumeration Date:
08/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MONACCIO
Authorized Official First Name:
ANNETTE
Authorized Official Middle Name:
MARIE
Authorized Official Title or Position:
OWNER, HAND THERAPIST
Authorized Official Telephone Number:
480-782-9696

Provider Taxonomy Codes

  • Taxonomy code: 2251X0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 225XH1200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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