Provider Demographics
NPI:1114155876
Name:MAUI HAND THERAPY
Entity Type:Organization
Organization Name:MAUI HAND THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OTR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGER
Authorized Official - Suffix:
Authorized Official - Credentials:OTR
Authorized Official - Phone:808-269-1720
Mailing Address - Street 1:164 LUAKAHA CIR
Mailing Address - Street 2:
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-8286
Mailing Address - Country:US
Mailing Address - Phone:808-269-1720
Mailing Address - Fax:866-431-9522
Practice Address - Street 1:164 LUAKAHA CIR
Practice Address - Street 2:
Practice Address - City:KIHEI
Practice Address - State:HI
Practice Address - Zip Code:96753-8286
Practice Address - Country:US
Practice Address - Phone:808-269-1720
Practice Address - Fax:866-431-9522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)