Healthcare Provider Details

I. General information

NPI: 1093128605
Provider Name (Legal Business Name): THERAPY AT HAND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2014
Last Update Date: 07/26/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

378 SOUTH ST UNIT 2A
NEWARK NJ
07105-1917
US

IV. Provider business mailing address

378 SOUTH ST UNIT 2A
NEWARK NJ
07105-1917
US

V. Phone/Fax

Practice location:
  • Phone: 973-868-7911
  • Fax:
Mailing address:
  • Phone: 973-868-7911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: YESENIA OLIVER
Title or Position: OWNER
Credential:
Phone: 973-868-7911