Provider Demographics
NPI:1154308252
Name:TWO HANDS REHAB CORP
Entity Type:Organization
Organization Name:TWO HANDS REHAB CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CLARA
Authorized Official - Middle Name:D
Authorized Official - Last Name:IGLESIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-229-0099
Mailing Address - Street 1:11398 W FLAGLER ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:SWEETWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33174-1746
Mailing Address - Country:US
Mailing Address - Phone:305-229-0099
Mailing Address - Fax:305-229-9966
Practice Address - Street 1:11398 W FLAGLER ST
Practice Address - Street 2:SUITE 203
Practice Address - City:SWEETWATER
Practice Address - State:FL
Practice Address - Zip Code:33174-1746
Practice Address - Country:US
Practice Address - Phone:305-229-0099
Practice Address - Fax:305-229-9966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-29
Last Update Date:2008-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL683216261QR0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0401XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL683216Medicare Oscar/Certification