MEDICARE: TARYN ELAINE HAND PT

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	225100000X	Physical Therapist	PT009168	GA

General Provider Information

NPI Number	:	1083804413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARYN ELAINE HAND PT

Provider Business Mailing Address
First Line	:	793 SAWYER RD
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30062-2222
Country	:	US
Telephone Number	:	470-644-0167
Fax Number	:	770-563-0740

Provider Business Practice Location Address
First Line	:	148 BILL CARRUTH PARKWAY
Second Line	:	SUITE 160
City	:	HIRAM
State	:	GA
Zip	:	30141-3756
Country	:	US
Telephone Number	:	470-956-8990
Fax Number	:	770-443-7590

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2007
Last Update Date	:	08/14/2013

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Directions to “ TARYN ELAINE HAND PT” Practice Location

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