Provider Demographics
NPI:1124217351
Name:HAND THERAPY OF CAPE CORAL, INC.
Entity Type:Organization
Organization Name:HAND THERAPY OF CAPE CORAL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OCCUPATINAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:PYATT
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:239-540-5560
Mailing Address - Street 1:3636 DEL PRADO BLVD S
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-7107
Mailing Address - Country:US
Mailing Address - Phone:239-540-5560
Mailing Address - Fax:239-540-0270
Practice Address - Street 1:3636 DEL PRADO BLVD S
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-7107
Practice Address - Country:US
Practice Address - Phone:239-540-5560
Practice Address - Fax:239-540-0270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT7364225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK5200Medicare PIN