Healthcare Provider Details

I. General information

NPI: 1689609612
Provider Name (Legal Business Name): HAND & REHABILITATION SPECIALISTS OF NORTH CAROLINA LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 10/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

610 N FAYETTEVILLE ST STE 201
ASHEBORO NC
27203-4671
US

IV. Provider business mailing address

257 W KINGS HWY
EDEN NC
27288-5009
US

V. Phone/Fax

Practice location:
  • Phone: 336-633-4263
  • Fax: 336-633-4267
Mailing address:
  • Phone: 336-627-4263
  • Fax: 336-627-4255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License Number
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNC

VIII. Authorized Official

Name: WILLIAM WARD WALSH
Title or Position: DIRECTOR MANAGING PARTNER
Credential:
Phone: 336-627-4263