Healthcare Provider Details
I. General information
NPI: 1518463041
Provider Name (Legal Business Name): DHT HAND THERAPY LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/03/2018
Last Update Date: 09/06/2022
Certification Date: 09/06/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15830 N 35TH AVE STE 2
PHOENIX AZ
85053-7640
US
IV. Provider business mailing address
15830 N 35TH AVE STE 2
PHOENIX AZ
85053-7640
US
V. Phone/Fax
- Phone: 602-843-3063
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RICHARD
BINSTEIN
Title or Position: VP/AUTHORIZED OFFICIAL
Credential:
Phone: 713-297-7000