Healthcare Provider Details

I. General information

NPI: 1104106541
Provider Name (Legal Business Name): HALE HAND CENTER LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2011
Last Update Date: 10/27/2023
Certification Date: 10/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1954 ROCKLEDGE BLVD STE 119
ROCKLEDGE FL
32955-3761
US

IV. Provider business mailing address

1954 ROCKLEDGE BLVD STE 119
ROCKLEDGE FL
32955-3761
US

V. Phone/Fax

Practice location:
  • Phone: 321-433-1500
  • Fax: 321-433-1556
Mailing address:
  • Phone: 321-433-1500
  • Fax: 321-433-1556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RICHARD BINSTEIN
Title or Position: VP, AUTHORIZED OFFICIAL
Credential:
Phone: 713-297-7000