1609818475 NPI number — HAND THERAPY SPECIALIST OF FLORIDA 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 1609818475 NPI number — HAND THERAPY SPECIALIST OF FLORIDA INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HAND THERAPY SPECIALIST OF FLORIDA 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:
1609818475
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/11/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11212 WAPLES MILL RD
Provider Second Line Business Mailing Address:
SUITE 103
Provider Business Mailing Address City Name:
FAIRFAX
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22030-7404
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-255-2339
Provider Business Mailing Address Fax Number:
703-255-2402

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1750 TREE BLVD
Provider Second Line Business Practice Location Address:
SUITE 8
Provider Business Practice Location Address City Name:
ST AUGUSTINE
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32084-5774
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-654-2637
Provider Business Practice Location Address Fax Number:
703-255-2402
Provider Enumeration Date:
06/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KAHN
Authorized Official First Name:
FRANCES
Authorized Official Middle Name:
B.
Authorized Official Title or Position:
OWNER DIRECTOR
Authorized Official Telephone Number:
703-255-2339

Provider Taxonomy Codes

  • 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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