Provider Demographics
NPI:1609818475
Name:HAND THERAPY SPECIALIST OF FLORIDA INC
Entity Type:Organization
Organization Name:HAND THERAPY SPECIALIST OF FLORIDA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:B
Authorized Official - Last Name:KAHN
Authorized Official - Suffix:
Authorized Official - Credentials:OTR L, CHT
Authorized Official - Phone:703-255-2339
Mailing Address - Street 1:11212 WAPLES MILL RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-7404
Mailing Address - Country:US
Mailing Address - Phone:703-255-2339
Mailing Address - Fax:703-255-2402
Practice Address - Street 1:1750 TREE BLVD
Practice Address - Street 2:SUITE 8
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32084-5774
Practice Address - Country:US
Practice Address - Phone:888-654-2637
Practice Address - Fax:703-255-2402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2008-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q0177Medicare PIN
FL5874090001Medicare NSC