Provider Demographics
NPI: | 1376175257 |
---|---|
Name: | HAND N HAND HOME REHAB, LLC |
Entity Type: | Organization |
Organization Name: | HAND N HAND HOME REHAB, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OCCUPATIONAL THERAPIST, OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | NICOLE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | NOHNER |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | OTR/L |
Authorized Official - Phone: | 971-336-9272 |
Mailing Address - Street 1: | 9125 SW BOONES FERRY RD |
Mailing Address - Street 2: | |
Mailing Address - City: | PORTLAND |
Mailing Address - State: | OR |
Mailing Address - Zip Code: | 97219-4828 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 971-336-9272 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 9125 SW BOONES FERRY RD |
Practice Address - Street 2: | |
Practice Address - City: | PORTLAND |
Practice Address - State: | OR |
Practice Address - Zip Code: | 97219-4828 |
Practice Address - Country: | US |
Practice Address - Phone: | 971-336-9272 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2020-02-07 |
Last Update Date: | 2020-02-07 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Group - Multi-Specialty |