Healthcare Provider Details

I. General information

NPI: 1528853918
Provider Name (Legal Business Name): HAND LAB FL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2025
Last Update Date: 05/25/2025
Certification Date: 05/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15300 S JOG RD STE 103
DELRAY BEACH FL
33446-2164
US

IV. Provider business mailing address

2923 BELLAROSA CIR
ROYAL PALM BEACH FL
33411-1467
US

V. Phone/Fax

Practice location:
  • Phone: 561-908-2395
  • Fax: 561-870-0153
Mailing address:
  • Phone: 240-418-1715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BRANDON HENDERSON
Title or Position: MGR
Credential: OTD, CHT
Phone: 240-418-1715