Healthcare Provider Details

I. General information

NPI: 1033124557
Provider Name (Legal Business Name): DYNAMIC HAND THERAPY & REHABILITATION LIMITED PARTNERSHIP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 11/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 WASHINGTON STREET SUITE B
GURNEE IL
60031-5715
US

IV. Provider business mailing address

3900 WASHINGTON STREET SUITE B
GURNEE IL
60031-5715
US

V. Phone/Fax

Practice location:
  • Phone: 847-336-2616
  • Fax: 847-336-2676
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER D CORRIGAN
Title or Position: VP, AUTHORIZED OFFICIAL
Credential:
Phone: 713-297-7000