Provider Demographics
NPI:1619078391
Name:HANDE, EILEEN H (BS MA LMT)
Entity Type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:H
Last Name:HANDE
Suffix:
Gender:F
Credentials:BS MA LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7587 LONDON LANE
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-4151
Mailing Address - Country:US
Mailing Address - Phone:561-715-6185
Mailing Address - Fax:561-498-0303
Practice Address - Street 1:16244 SOUTH MILITARY TRAIL
Practice Address - Street 2:SUITE 120
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484
Practice Address - Country:US
Practice Address - Phone:561-498-1414
Practice Address - Fax:561-498-0303
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA14975225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist