Healthcare Provider Details

I. General information

NPI: 1679749949
Provider Name (Legal Business Name): HELPING HAND CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2008
Last Update Date: 05/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 W LUDLOW ST VERMILLION PROFESSIONAL BLDG
SUMMIT HILL PA
18250-1141
US

IV. Provider business mailing address

39 W LUDLOW ST VERMILLION PROFESSIONAL BLDG
SUMMIT HILL PA
18250-1141
US

V. Phone/Fax

Practice location:
  • Phone: 570-645-4001
  • Fax: 570-645-4001
Mailing address:
  • Phone: 570-645-4001
  • Fax: 570-645-4001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. MARLENE MARIE BASIAGO
Title or Position: O.T.R./L,P.T.
Credential: BS
Phone: 570-645-4001