Provider Demographics
NPI:1033983648
Name:HAND AND ARM MOBILE THERAPY OF THE CAROLINAS LLC
Entity Type:Organization
Organization Name:HAND AND ARM MOBILE THERAPY OF THE CAROLINAS LLC
Other - Org Name:CAROLINA THERAPIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:POOJA
Authorized Official - Middle Name:
Authorized Official - Last Name:DESAI
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:919-272-3327
Mailing Address - Street 1:436 E LONG AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-2543
Mailing Address - Country:US
Mailing Address - Phone:704-850-9099
Mailing Address - Fax:980-247-4004
Practice Address - Street 1:436 E LONG AVE STE 1
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2543
Practice Address - Country:US
Practice Address - Phone:704-850-9099
Practice Address - Fax:980-247-4004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-14
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty