MEDICARE: HAND REHABILITATION OF HAMPTON ROADS, 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

General Provider Information

NPI Number	:	1073657938
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAND REHABILITATION OF HAMPTON ROADS, INC

Provider Business Mailing Address
First Line	:	229 W BUTE ST
Second Line	:	#810
City	:	NORFOLK
State	:	VA
Zip	:	23510-1405
Country	:	US
Telephone Number	:	757-623-0814
Fax Number	:	757-625-5893

Provider Business Practice Location Address
First Line	:	667 KINGSBOROUGH SQ
Second Line	:	#100
City	:	CHESAPEAKE
State	:	VA
Zip	:	23320-4999
Country	:	US
Telephone Number	:	757-549-6652
Fax Number	:	757-549-6560

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	GIA LAFFERTY
Credential	:
Telephone Number	:	757-623-0814

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	08/22/2020

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