Healthcare Provider Details
I. General information
NPI: 1205997129
Provider Name (Legal Business Name): HANDS PLUS, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1801 CENTRAL AVE SUITE H
HOT SPRINGS AR
71901-6848
US
IV. Provider business mailing address
1801 CENTRAL AVE SUITE H
HOT SPRINGS AR
71901-6848
US
V. Phone/Fax
- Phone: 501-318-4263
- Fax: 501-318-1007
- Phone: 501-318-4263
- Fax: 501-318-1007
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
MIRIAM
SHIVELY
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR-L, CHT
Phone: 501-318-4263