Healthcare Provider Details

I. General information

NPI: 1144397449
Provider Name (Legal Business Name): NORTHWOOD HAND CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 06/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3729 EASTON - NAZARETH HWY. SUITE 202
EASTON PA
18045
US

IV. Provider business mailing address

3729 EASTON - NAZARETH HWY. SUITE 202
EASTON PA
18045
US

V. Phone/Fax

Practice location:
  • Phone: 610-258-7094
  • Fax: 610-258-6107
Mailing address:
  • Phone: 610-258-7094
  • Fax: 610-258-6107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC009522
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC008767
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOC10581
License Number StatePA

VIII. Authorized Official

Name: MS. SANDRA M HARAKAL
Title or Position: AR MANAGER
Credential:
Phone: 610-258-7094