Healthcare Provider Details

I. General information

NPI: 1780989079
Provider Name (Legal Business Name): ADVANCED HAND AND REHAB CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2011
Last Update Date: 01/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4844 SUN N LAKE BLVD
SEBRING FL
33872-2110
US

IV. Provider business mailing address

4844 SUN N LAKE BLVD
SEBRING FL
33872-2110
US

V. Phone/Fax

Practice location:
  • Phone: 863-991-3893
  • Fax:
Mailing address:
  • Phone: 863-991-3893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT13127
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT7185
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOT7185
License Number StateFL

VIII. Authorized Official

Name: MR. ANANTHAN SUNIL KUMAR
Title or Position: PRESIDENT
Credential: OTR, CHT
Phone: 863-991-3893