MEDICARE: CERTIFIED HAND REHABILITATION, PLLC

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	174400000X	Specialist	0395	AZ

General Provider Information

NPI Number	:	1245257187
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CERTIFIED HAND REHABILITATION, PLLC

Provider Business Mailing Address
First Line	:	10304 N HAYDEN RD
Second Line	:	SUITE 8
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-1217
Country	:	US
Telephone Number	:	480-429-5266
Fax Number	:	480-429-5297

Provider Business Practice Location Address
First Line	:	10304 N HAYDEN RD
Second Line	:	SUITE 8
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85258-1217
Country	:	US
Telephone Number	:	480-429-5266
Fax Number	:	480-429-5297

Authorized Official
Title or Position	:	OWNER; OCCUPATIONAL THERAPIST
Name	:	MS. KAREN ANN THOMAS
Credential	:	OTR/L, CHT
Telephone Number	:	480-429-5266

Provider Enumeration Date	:	07/16/2006
Last Update Date	:	08/22/2020

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