Provider Demographics
NPI:1568537215
Name:HAND, ROSANNA HINMAN (OT, CHT)
Entity Type:Individual
Prefix:MRS
First Name:ROSANNA
Middle Name:HINMAN
Last Name:HAND
Suffix:
Gender:F
Credentials:OT, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:317 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:THOMASTON
Mailing Address - State:GA
Mailing Address - Zip Code:30286-3502
Mailing Address - Country:US
Mailing Address - Phone:706-647-1717
Mailing Address - Fax:706-647-3737
Practice Address - Street 1:317 W MAIN ST
Practice Address - Street 2:
Practice Address - City:THOMASTON
Practice Address - State:GA
Practice Address - Zip Code:30286-3502
Practice Address - Country:US
Practice Address - Phone:706-647-1717
Practice Address - Fax:706-647-3737
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL603225X00000X, 225XH1200X
GA815225X00000X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA511I670074Medicare PIN