MEDICARE: HAND THERAPY OF CAPE CORAL, 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	OT7364	FL

General Provider Information

NPI Number	:	1124217351
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAND THERAPY OF CAPE CORAL, INC.

Provider Business Mailing Address
First Line	:	3636 DEL PRADO BLVD S
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-7107
Country	:	US
Telephone Number	:	239-540-5560
Fax Number	:	239-540-0270

Provider Business Practice Location Address
First Line	:	3636 DEL PRADO BLVD S
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33904-7107
Country	:	US
Telephone Number	:	239-540-5560
Fax Number	:	239-540-0270

Authorized Official
Title or Position	:	OWNER/OCCUPATINAL THERAPIST
Name	:	MRS. BARBARA PYATT
Credential	:	OT
Telephone Number	:	239-540-5560

Provider Enumeration Date	:	10/24/2007
Last Update Date	:	08/25/2010

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