MEDICARE: HEARTS AND HANDS THERAPY SERVICES, 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	235Z00000X	Speech-Language Pathologist	003451	GA
2	225100000X	Physical Therapist
3	225XP0200X	Pediatric Occupational Therapist	3834	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831410943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTS AND HANDS THERAPY SERVICES, INC

Provider Business Mailing Address
First Line	:	709 CRESCENT CIR
Second Line	:
City	:	CANTON
State	:	GA
Zip	:	30115-4772
Country	:	US
Telephone Number	:	678-462-1342
Fax Number	:	678-493-9464

Provider Business Practice Location Address
First Line	:	424 CREEKSTONE RDG
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188-3740
Country	:	US
Telephone Number	:	678-462-1342
Fax Number	:

Authorized Official
Title or Position	:	OCCUPATIONAL THERAPIST, DIRECTOR
Name	:	AMY UTECHT
Credential	:	MS, OTR/L
Telephone Number	:	678-462-1342

Provider Enumeration Date	:	06/14/2010
Last Update Date	:	03/19/2014

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Directions to “HEARTS AND HANDS THERAPY SERVICES, INC ” Practice Location

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