Healthcare Provider Details

I. General information

NPI: 1326391376
Provider Name (Legal Business Name): HANDS OF HOPE CHILDREN'S THERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2012
Last Update Date: 10/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 MAXWELL AVE
GREENWOOD SC
29646-2641
US

IV. Provider business mailing address

PO BOX 3023
GREENWOOD SC
29648-3023
US

V. Phone/Fax

Practice location:
  • Phone: 864-993-3302
  • Fax:
Mailing address:
  • Phone: 864-993-3302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMANDA HOPE CAMPBELL
Title or Position: OWNER
Credential: PTA
Phone: 864-993-3302