Healthcare Provider Details

I. General information

NPI: 1134628803
Provider Name (Legal Business Name): SPECIALIZED HANDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2018
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2919 FREEWAY
ARBUTUS MD
21227-3414
US

IV. Provider business mailing address

PO BOX 1763
RANDALLSTOWN MD
21133-1708
US

V. Phone/Fax

Practice location:
  • Phone: 443-774-7000
  • Fax:
Mailing address:
  • Phone: 240-542-7182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: MS. SHANEKA VICTORIA YOUNG
Title or Position: PROJECT COORDINATOR
Credential:
Phone: 240-542-7182