Provider Demographics
NPI:1326689209
Name:HEALING HANDS THERAPY GROUP
Entity Type:Organization
Organization Name:HEALING HANDS THERAPY GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JESSE
Authorized Official - Middle Name:
Authorized Official - Last Name:BASADRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-857-5025
Mailing Address - Street 1:1699 SW 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2074
Mailing Address - Country:US
Mailing Address - Phone:305-857-5025
Mailing Address - Fax:305-857-5024
Practice Address - Street 1:1699 SW 27TH AVE FL 3
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2074
Practice Address - Country:US
Practice Address - Phone:305-857-5025
Practice Address - Fax:305-857-5024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-02
Last Update Date:2019-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty