Healthcare Provider Details
I. General information
NPI: 1154348944
Provider Name (Legal Business Name): COMPREHENSIVE HAND & PHYSICAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/16/2006
Last Update Date: 05/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3230 LAKE WORTH RD SUITE C
PALM SPRINGS FL
33461-3694
US
IV. Provider business mailing address
1300 W SAM HOUSTON PKWY S SUITE 300
HOUSTON TX
77042-2447
US
V. Phone/Fax
- Phone: 561-968-7788
- Fax: 561-968-9969
- Phone: 713-297-7000
- Fax: 713-297-7090
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225XH1200X |
| Taxonomy | Hand Occupational Therapist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
RICHARD
BINSTEIN
Title or Position: VP,AUTHORIZED OFFICIAL
Credential: JD
Phone: 713-297-7000