Healthcare Provider Details

I. General information

NPI: 1861789869
Provider Name (Legal Business Name): FLORIDA HAND REHABILITATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2011
Last Update Date: 06/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 N CONGRESS AVE STE 100
WEST PALM BEACH FL
33407-3282
US

IV. Provider business mailing address

PO BOX 223056
WEST PALM BEACH FL
33422-3056
US

V. Phone/Fax

Practice location:
  • Phone: 561-881-8175
  • Fax:
Mailing address:
  • Phone: 561-881-8175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: KAREN BARLOW
Title or Position: PRESIDENT, JUPITER PROF DEVELOPMENT
Credential:
Phone: 561-748-2889