Healthcare Provider Details
I. General information
NPI: 1033484969
Provider Name (Legal Business Name): HANDS UP REHABILITATION SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/09/2012
Last Update Date: 03/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8940 N KENDALL DR SUITE 904E
MIAMI FL
33176-2148
US
IV. Provider business mailing address
19101 MYSTIC POINTE DR SUITE 1404
AVENTURA FL
33180-4512
US
V. Phone/Fax
- Phone: 305-666-2004
- Fax: 305-271-7993
- Phone: 305-215-4215
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225XH1200X |
| Taxonomy | Hand Occupational Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
RACHEL
FAYE
SARSHALOM
Title or Position: OCCUPATIONAL THERAPIST, OWNER
Credential: MOT, OTR/L
Phone: 305-215-4215