Healthcare Provider Details

I. General information

NPI: 1245969351
Provider Name (Legal Business Name): HAND THERAPY PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2022
Last Update Date: 06/06/2022
Certification Date: 06/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5017 E WASHINGTON ST STE 107
PHOENIX AZ
85034-2033
US

IV. Provider business mailing address

522 N CENTRAL AVE UNIT 679
PHOENIX AZ
85001-2631
US

V. Phone/Fax

Practice location:
  • Phone: 480-565-2276
  • Fax:
Mailing address:
  • Phone: 925-899-8389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: CARY EDGAR
Title or Position: PRESIDENT
Credential:
Phone: 480-206-6240