Healthcare Provider Details

I. General information

NPI: 1568404929
Provider Name (Legal Business Name): HEALING HANDS REHAB INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 05/03/2021
Certification Date: 05/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 LAKEVIEW AVE
CLIFTON NJ
07011-4041
US

IV. Provider business mailing address

61 LAKEVIEW AVE
CLIFTON NJ
07011-4041
US

V. Phone/Fax

Practice location:
  • Phone: 973-772-8006
  • Fax: 973-772-0907
Mailing address:
  • Phone: 973-772-8006
  • Fax: 973-772-0907

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. PRASHANT JUNANKAR
Title or Position: PRESIDENT
Credential: MA, OTR
Phone: 973-772-8006