MEDICARE: HAND THERAPY ASSOCIATES, INC

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	000310	CT
2	225100000X	Physical Therapist
3	225X00000X	Occupational Therapist	00310	CT

General Provider Information

NPI Number	:	1518087758
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAND THERAPY ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	245 AMITY RD
Second Line	:	SUITE 207
City	:	WOODBRIDGE
State	:	CT
Zip	:	06525-2258
Country	:	US
Telephone Number	:	203-389-8177
Fax Number	:	203-387-9447

Provider Business Practice Location Address
First Line	:	245 AMITY RD
Second Line	:	SUITE 207
City	:	WOODBRIDGE
State	:	CT
Zip	:	06525-2258
Country	:	US
Telephone Number	:	203-389-8177
Fax Number	:	203-387-9447

Authorized Official
Title or Position	:	OWNER
Name	:	LENORE D. FROST
Credential	:	PHD, OTR/L, CHT
Telephone Number	:	203-389-8177

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	03/05/2020

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