Provider Demographics
NPI:1518070770
Name:WOODLANDS HAND REHABILITATION CENTER LLC
Entity Type:Organization
Organization Name:WOODLANDS HAND REHABILITATION CENTER LLC
Other - Org Name:THE HAND REHABILITATION CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:M
Authorized Official - Last Name:HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:OTR,CHT
Authorized Official - Phone:936-321-4700
Mailing Address - Street 1:19073 INTERSTATE 45 S
Mailing Address - Street 2:SUITE 145
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77385-8743
Mailing Address - Country:US
Mailing Address - Phone:936-321-4700
Mailing Address - Fax:936-321-4848
Practice Address - Street 1:19073 INTERSTATE 45 S
Practice Address - Street 2:SUITE 145
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77385-8744
Practice Address - Country:US
Practice Address - Phone:936-321-4700
Practice Address - Fax:936-321-4848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX539990000225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4594820001Medicare NSC
TX00716UMedicare PIN