Healthcare Provider Details

I. General information

NPI: 1053580290
Provider Name (Legal Business Name): SALISBURY HAND REHABILTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2008
Last Update Date: 06/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1344 S DIVISION ST SUITE 201
SALISBURY MD
21804-7096
US

IV. Provider business mailing address

1344 S DIVISION ST SUITE 201
SALISBURY MD
21804-7096
US

V. Phone/Fax

Practice location:
  • Phone: 410-749-6760
  • Fax:
Mailing address:
  • Phone: 410-749-6760
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number15397
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number15397
License Number StateMD

VIII. Authorized Official

Name: MRS. REGINA ANN BEATUS
Title or Position: OWNER/DIRECTOR
Credential: M.A., P.T., C.H.T
Phone: 410-749-6760