Provider Demographics
NPI:1144397449
Name:NORTHWOOD HAND CENTER, INC.
Entity Type:Organization
Organization Name:NORTHWOOD HAND CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AR MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARAKAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-258-7094
Mailing Address - Street 1:3729 EASTON - NAZARETH HWY.
Mailing Address - Street 2:SUITE 202
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045
Mailing Address - Country:US
Mailing Address - Phone:610-258-7094
Mailing Address - Fax:610-258-6107
Practice Address - Street 1:3729 EASTON - NAZARETH HWY.
Practice Address - Street 2:SUITE 202
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045
Practice Address - Country:US
Practice Address - Phone:610-258-7094
Practice Address - Fax:610-258-6107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC009522225X00000X
PAOC008767225X00000X
PAOC10581225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA089777KXHOtherRUPAL PATEL OT
PAP00477651OtherRAILROAD MEDICARE
PADB0856OtherRR MEDICARE
PAP00477651OtherRAILROAD MEDICARE
PADB0856OtherRR MEDICARE