Healthcare Provider Details

I. General information

NPI: 1356482004
Provider Name (Legal Business Name): HANDS ON PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 STATE STREET
STRUTHERS OH
44471-1939
US

IV. Provider business mailing address

7063 BARRINGTON DR
CANFIELD OH
44406-7634
US

V. Phone/Fax

Practice location:
  • Phone: 330-755-6552
  • Fax: 330-755-6553
Mailing address:
  • Phone: 330-506-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberPT-9200
License Number StateOH

VIII. Authorized Official

Name: MS. LISA RENEE NORTON-TOTH
Title or Position: OWNER
Credential: P.T.
Phone: 330-506-2700