MEDICARE: HAND THERAPY SPECIALISTS, 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	225X00000X	Occupational Therapist	0119000683	VA

General Provider Information

NPI Number	:	1801815089
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAND THERAPY SPECIALISTS, INC

Provider Business Mailing Address
First Line	:	11240 WAPLES MILL RD
Second Line	:	SUITE 202
City	:	FAIRFAX
State	:	VA
Zip	:	22030-6078
Country	:	US
Telephone Number	:	703-255-2339
Fax Number	:	703-255-2402

Provider Business Practice Location Address
First Line	:	11240 WAPLES MILL RD
Second Line	:	SUITE 202
City	:	FAIRFAX
State	:	VA
Zip	:	22030-6078
Country	:	US
Telephone Number	:	703-255-2339
Fax Number	:	703-255-2402

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	BECKY L. NOONAN
Credential	:
Telephone Number	:	703-255-2339

Provider Enumeration Date	:	07/19/2006
Last Update Date	:	03/25/2015

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