MEDICARE: HAND REHABILITATION ASSOCIATES INC

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	225XH1200X	Hand Occupational Therapist	OT0000194	FL
2	225XH1200X	Hand Occupational Therapist	OT12433	FL
3	225XH1200X	Hand Occupational Therapist	OT482	FL
4	225XH1200X	Hand Occupational Therapist	OT731	FL

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	:	1043370679
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAND REHABILITATION ASSOCIATES INC

Provider Business Mailing Address
First Line	:	2000 W COMMERCIAL BLVD
Second Line	:	SUITE 101
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3060
Country	:	US
Telephone Number	:	954-351-0511
Fax Number	:	954-351-0411

Provider Business Practice Location Address
First Line	:	2000 W COMMERCIAL BLVD
Second Line	:	SUITE 101
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33309-3060
Country	:	US
Telephone Number	:	954-351-0511
Fax Number	:	954-351-0411

Authorized Official
Title or Position	:	OWNER CLINICAL DIRECTOR
Name	:	MS. ROBIN E MILLER
Credential	:	OTRL, CHT
Telephone Number	:	954-351-0511

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	02/08/2008

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