MEDICARE: HANDS IN HARMONY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225A00000X	Music Therapist	MUS00001	RI

General Provider Information

NPI Number	:	1215388392
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANDS IN HARMONY, LLC

Provider Business Mailing Address
First Line	:	PO BOX 5333
Second Line	:
City	:	WAKEFIELD
State	:	RI
Zip	:	02880-5333
Country	:	US
Telephone Number	:	401-783-4810
Fax Number	:

Provider Business Practice Location Address
First Line	:	59 S COUNTY COMMONS WAY
Second Line	:
City	:	SOUTH KINGSTOWN
State	:	RI
Zip	:	02879-8270
Country	:	US
Telephone Number	:	401-783-4810
Fax Number	:

Authorized Official
Title or Position	:	NEUROLOGIC MUSIC THERAPIST
Name	:	MRS. NICOLE O'MALLEY
Credential	:	MT-BC NMT-F LPMT
Telephone Number	:	401-783-4810

Provider Enumeration Date	:	06/29/2016
Last Update Date	:	06/29/2016

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