Healthcare Provider Details

I. General information

NPI: 1306355995
Provider Name (Legal Business Name): KEEFE HAND THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2017
Last Update Date: 09/26/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 JUPITER LAKES BLVD STE 4201
JUPITER FL
33458-7190
US

IV. Provider business mailing address

PO BOX 694
JUPITER FL
33468-0694
US

V. Phone/Fax

Practice location:
  • Phone: 561-254-0665
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT1313
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberOT1313
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License NumberOT1313
License Number StateFL

VIII. Authorized Official

Name: SHARON KEEFE
Title or Position: PRESIDENT
Credential:
Phone: 561-265-0665