Healthcare Provider Details

I. General information

NPI: 1851741169
Provider Name (Legal Business Name): GOOD HANDS THERAPY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2016
Last Update Date: 06/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 CYPRESS TRCE
ROYAL PALM BEACH FL
33411-4708
US

IV. Provider business mailing address

133 CYPRESS TRCE
ROYAL PALM BEACH FL
33411-4708
US

V. Phone/Fax

Practice location:
  • Phone: 561-406-0230
  • Fax:
Mailing address:
  • Phone: 561-406-0230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License NumberOT15799
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT15799
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT15799
License Number StateFL

VIII. Authorized Official

Name: RUTH-ALLYSON WEBSTER
Title or Position: PRESIDENT
Credential: MS, OTR/L CHC
Phone: 561-406-0230