Provider Demographics
NPI:1417647256
Name:ROCK STEADY HAND THERAPY REHABILITATION AND WELLNESS
Entity Type:Organization
Organization Name:ROCK STEADY HAND THERAPY REHABILITATION AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLIVER
Authorized Official - Middle Name:ACOSTA
Authorized Official - Last Name:DELA ROSA
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:404-903-4395
Mailing Address - Street 1:3361 CLOUD CROFT CT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:IL
Mailing Address - Zip Code:60538-3715
Mailing Address - Country:US
Mailing Address - Phone:404-903-4395
Mailing Address - Fax:
Practice Address - Street 1:3361 CLOUD CROFT CT
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:IL
Practice Address - Zip Code:60538-3715
Practice Address - Country:US
Practice Address - Phone:404-903-4395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty