MEDICARE: ALLIES IN HAND THERAPY, 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	225XH1200X	Hand Occupational Therapist	46TR00408000	NJ
2	225X00000X	Occupational Therapist	46TR00408000	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	749364	OTHER		UNITED HEALTH CARE
2	6963930	OTHER		CIGNA

General Provider Information

NPI Number	:	1336464106
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIES IN HAND THERAPY, LLC

Provider Business Mailing Address
First Line	:	1211 HAMBURG TPKE STE 306
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-5056
Country	:	US
Telephone Number	:	973-706-8270
Fax Number	:	973-706-8272

Provider Business Practice Location Address
First Line	:	1211 HAMBURG TPKE STE 306
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-5056
Country	:	US
Telephone Number	:	973-706-8270
Fax Number	:	973-706-8272

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	MRS. PRITI SHAH
Credential	:	ORT, CHT
Telephone Number	:	973-706-8270

Provider Enumeration Date	:	04/05/2010
Last Update Date	:	08/03/2010

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