MEDICARE: ADVANCED HAND THERAPY 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	06314002	OTHER	ND	ND BLUE SHIELD
2	95G28AD	OTHER	MN	MN BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730128703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADVANCED HAND THERAPY INC

Provider Business Mailing Address
First Line	:	3270 20TH ST S
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58104-5917
Country	:	US
Telephone Number	:	701-293-7408
Fax Number	:	701-235-2099

Provider Business Practice Location Address
First Line	:	3270 20TH ST S
Second Line	:
City	:	FARGO
State	:	ND
Zip	:	58104-5917
Country	:	US
Telephone Number	:	701-293-7408
Fax Number	:	701-235-2099

Authorized Official
Title or Position	:	CLINIC MANAGER
Name	:	MARGARET S GILBERTSON
Credential	:
Telephone Number	:	701-293-7408

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	12/31/2007

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Directions to “ADVANCED HAND THERAPY INC ” Practice Location

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