MEDICARE: ADVANCED HAND THERAPY

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	46TR00003700	NJ

General Provider Information

NPI Number	:	1346480621
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED HAND THERAPY

Provider Business Mailing Address
First Line	:	1338 ROUTE 38
Second Line	:	STE B
City	:	HAINESPORT
State	:	NJ
Zip	:	08036-2754
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1338 ROUTE 38
Second Line	:	STE B
City	:	HAINESPORT
State	:	NJ
Zip	:	08036-2754
Country	:	US
Telephone Number	:	609-923-1253
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. ALEXANDER FERRARA
Credential	:	OTR
Telephone Number	:	609-923-1253

Provider Enumeration Date	:	02/26/2009
Last Update Date	:	05/22/2009

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Directions to “ADVANCED HAND THERAPY ” Practice Location

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