Healthcare Provider Details

I. General information

NPI: 1023412418
Provider Name (Legal Business Name): HAND THERAPY PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2014
Last Update Date: 07/12/2021
Certification Date: 04/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9130 W THOMAS RD STE A-105
PHOENIX AZ
85037-3377
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 623-377-5283
  • Fax:
Mailing address:
  • Phone: 480-206-6240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

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