MEDICARE: HELPING HANDS THERAPEUTIC SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT001596	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023416401
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELPING HANDS THERAPEUTIC SERVICES, LLC

Provider Business Mailing Address
First Line	:	PO BOX 1452
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31902-1452
Country	:	US
Telephone Number	:	770-310-0510
Fax Number	:

Provider Business Practice Location Address
First Line	:	19 WALNUT CREEK LN
Second Line	:
City	:	DALLAS
State	:	GA
Zip	:	30157-8157
Country	:	US
Telephone Number	:	770-310-0510
Fax Number	:

Authorized Official
Title or Position	:	OWNER, CEO
Name	:	LAMURIEL Y OJO
Credential	:	OTR/L, MAL
Telephone Number	:	770-310-0510

Provider Enumeration Date	:	12/16/2014
Last Update Date	:	05/01/2018

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