Healthcare Provider Details
I. General information
NPI: 1346327988
Provider Name (Legal Business Name): HALE HAND CENTER LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/01/2006
Last Update Date: 10/27/2023
Certification Date: 10/27/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
689 S APOLLO BLVD
MELBOURNE FL
32901-1455
US
IV. Provider business mailing address
689 S APOLLO BLVD
MELBOURNE FL
32901-1455
US
V. Phone/Fax
- Phone: 321-674-5035
- Fax: 321-674-5039
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XH1200X |
| Taxonomy | Hand Occupational Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RICHARD
BINSTEIN
Title or Position: VP/AUTHORIZED OFFICIAL
Credential: JD
Phone: 713-297-7000