Healthcare Provider Details

I. General information

NPI: 1194988972
Provider Name (Legal Business Name): HAND REHABILITATION SPECIALIST INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2008
Last Update Date: 09/04/2020
Certification Date: 09/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2061 NW 2ND AVE SUITE 106
BOCA RATON FL
33431-6652
US

IV. Provider business mailing address

2061 NW 2ND AVE SUITE 106
BOCA RATON FL
33431-6652
US

V. Phone/Fax

Practice location:
  • Phone: 561-362-8757
  • Fax: 561-362-8949
Mailing address:
  • Phone: 561-362-8757
  • Fax: 561-362-8949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberOT1444
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License NumberOT1444
License Number StateFL

VIII. Authorized Official

Name: MS. DEBORAH J AUSTIN
Title or Position: PVD
Credential: OTR, CHT
Phone: 561-362-8757