MEDICARE: ME 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	0119007316	VA

General Provider Information

NPI Number	:	1427540186
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ME HAND THERAPY, LLC

Provider Business Mailing Address
First Line	:	2755 HARTLAND RD STE 300
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22043-3545
Country	:	US
Telephone Number	:	703-544-8971
Fax Number	:	703-562-6994

Provider Business Practice Location Address
First Line	:	2755 HARTLAND RD STE 204
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22043-3544
Country	:	US
Telephone Number	:	703-544-8971
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. VINEET MEHAN
Credential	:	MD
Telephone Number	:	703-544-8971

Provider Enumeration Date	:	05/30/2018
Last Update Date	:	11/21/2018

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