Provider Demographics
NPI:1548405467
Name:HANDWORKS, LLC
Entity Type:Organization
Organization Name:HANDWORKS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:P
Authorized Official - Last Name:GILLENSON
Authorized Official - Suffix:
Authorized Official - Credentials:OTR, CAHT
Authorized Official - Phone:201-220-5199
Mailing Address - Street 1:299 MARKET ST STE 150
Mailing Address - Street 2:
Mailing Address - City:SADDLE BROOK
Mailing Address - State:NJ
Mailing Address - Zip Code:07663-5346
Mailing Address - Country:US
Mailing Address - Phone:201-220-5199
Mailing Address - Fax:
Practice Address - Street 1:299 MARKET ST STE 150
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-5346
Practice Address - Country:US
Practice Address - Phone:201-220-5199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-05
Last Update Date:2010-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6212680002Medicare NSC