MEDICARE: GREAT HANDS 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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1861567018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREAT HANDS INC

Provider Business Mailing Address
First Line	:	8380 COLESVILLE RD
Second Line	:	200
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-6255
Country	:	US
Telephone Number	:	301-588-7778
Fax Number	:	301-588-4147

Provider Business Practice Location Address
First Line	:	8380 COLESVILLE RD
Second Line	:	200
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-6255
Country	:	US
Telephone Number	:	301-588-7778
Fax Number	:	301-588-4147

Authorized Official
Title or Position	:	CEO
Name	:	EDWARD P LEE
Credential	:	P.T.
Telephone Number	:	301-588-7778

Provider Enumeration Date	:	11/22/2006
Last Update Date	:	08/22/2020

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Directions to “GREAT HANDS INC ” Practice Location

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