MEDICARE: HEALING HANDS PHYSICAL THERAPY, LLC

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	225X00000X	Occupational Therapist
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1386140374
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING HANDS PHYSICAL THERAPY, LLC

Provider Business Mailing Address
First Line	:	104 LEGACY LN
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71901-8754
Country	:	US
Telephone Number	:	501-701-8617
Fax Number	:	501-762-0399

Provider Business Practice Location Address
First Line	:	3351 MALVERN RD
Second Line	:
City	:	HOT SPRINGS
State	:	AR
Zip	:	71901-6753
Country	:	US
Telephone Number	:	501-701-8617
Fax Number	:	501-762-0399

Authorized Official
Title or Position	:	OWNER
Name	:	MARY JANE B SY
Credential	:
Telephone Number	:	501-701-8617

Provider Enumeration Date	:	03/30/2018
Last Update Date	:	01/24/2023

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