Healthcare Provider Details
I. General information
NPI: 1679780936
Provider Name (Legal Business Name): ATHENS HAND THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
700 SUNSET DR SUITE 301
ATHENS GA
30606-2293
US
IV. Provider business mailing address
700 SUNSET DR SUITE 301
ATHENS GA
30606-2293
US
V. Phone/Fax
- Phone: 706-546-7073
- Fax: 706-546-7074
- Phone: 706-546-7073
- Fax: 706-546-7074
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | OT000600 |
| License Number State | GA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | OT000600 |
| License Number State | GA |
VIII. Authorized Official
Name: MRS.
PATRICIA
C
MONROE
Title or Position: OWNER
Credential: OTRL CHT
Phone: 706-546-7073