Provider Demographics
NPI:1063856292
Name:HAND REHABILITATION CENTER OF CUTLER BAY LLC
Entity Type:Organization
Organization Name:HAND REHABILITATION CENTER OF CUTLER BAY LLC
Other - Org Name:HANDS REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MGR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTA
Authorized Official - Middle Name:PAULINE
Authorized Official - Last Name:BAGGOTT
Authorized Official - Suffix:
Authorized Official - Credentials:OT/CHT
Authorized Official - Phone:305-969-0830
Mailing Address - Street 1:PO BOX 960895
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33296-0895
Mailing Address - Country:US
Mailing Address - Phone:305-408-7353
Mailing Address - Fax:305-408-7355
Practice Address - Street 1:11371 SW 211TH ST
Practice Address - Street 2:SUITE 29
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-2244
Practice Address - Country:US
Practice Address - Phone:305-969-0830
Practice Address - Fax:305-969-4882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-18
Last Update Date:2013-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC 10718261QP2000X, 261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation