=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487874202
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HAND THERAPY SOLUTIONS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/26/2007
-----------------------------------------------------
Last Update Date | 06/19/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 106 GRAND AVE SUITE 420
-----------------------------------------------------
City | ENGLEWOOD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07631-3574
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-503-0291
-----------------------------------------------------
Fax | 201-503-0293
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 106 GRAND AVE SUITE 420
-----------------------------------------------------
City | ENGLEWOOD
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07631-3574
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-503-0291
-----------------------------------------------------
Fax | 201-503-0293
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER-DIRECTOR
-----------------------------------------------------
Name | MICHELLE BLUMENSTYK
-----------------------------------------------------
Credential | OTR, CHT
-----------------------------------------------------
Telephone | 201-503-0291
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332BC3200X
-----------------------------------------------------
Taxonomy Name | Customized Equipment (DME)
-----------------------------------------------------
License Number | 46TR00017700
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------