Provider Demographics
NPI:1043370679
Name:HAND REHABILITATION ASSOCIATES INC
Entity Type:Organization
Organization Name:HAND REHABILITATION ASSOCIATES INC
Other - Org Name:FORT LAUDERDALE HAND CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL, CHT
Authorized Official - Phone:954-351-0511
Mailing Address - Street 1:2000 W COMMERCIAL BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3060
Mailing Address - Country:US
Mailing Address - Phone:954-351-0511
Mailing Address - Fax:954-351-0411
Practice Address - Street 1:2000 W COMMERCIAL BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3060
Practice Address - Country:US
Practice Address - Phone:954-351-0511
Practice Address - Fax:954-351-0411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2008-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT0000194225XH1200X
FLOT12433225XH1200X
FLOT482225XH1200X
FLOT731225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1518069368Medicare ID - Type UnspecifiedNPI
FL1972573517Medicare ID - Type UnspecifiedNPI
FL1700988557Medicare ID - Type UnspecifiedNPI
FL1952471088Medicare ID - Type UnspecifiedNPI