MEDICARE: KEEFE HAND THERAPY

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	332B00000X	Durable Medical Equipment & Medical Supplies	OT0001313	FL
2	332BC3200X	Customized Equipment (DME)	OT 0001313	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Z7433	OTHER	FL	BCBS #

General Provider Information

NPI Number	:	1770797219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEEFE HAND THERAPY

Provider Business Mailing Address
First Line	:	PO BOX 694
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33468-0694
Country	:	US
Telephone Number	:	561-736-8380
Fax Number	:	561-752-8528

Provider Business Practice Location Address
First Line	:	3301 W BOYNTON BEACH BLVD
Second Line	:	SUITE 2
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-4642
Country	:	US
Telephone Number	:	561-736-8380
Fax Number	:	561-752-8528

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SHARON KEEFE
Credential	:	OTRL, CHT
Telephone Number	:	561-736-8380

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	02/04/2008

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1790813012 — SHARON A KEEFE OTR
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Directions to “KEEFE HAND THERAPY ” Practice Location

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